Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Print and Mail Election Materials
- Solicitation number
- RFP GGS-26-0079
- 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 that applies to the Print and Mail Election Materials contract opportunity (RFP GGS-26-0079). The form addresses documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which govern the handling of security-sensitive materials related to aviation facilities and operations. Authorized company representatives must acknowledge receipt of these documents and agree to restricted disclosure limited only to personnel with demonstrated need-to-know access. The contract spans from April 1, 2026, through March 31, 2031, with four optional one-year renewal periods. The City of Phoenix seeks a single prime contractor, with subcontractors permitted, to execute printing, addressing, and mailing services for election pamphlets and booklets across eight city council districts, with production volumes ranging from 1 to 750,000 units depending on election requirements. Key deadlines include a pre-offer conference on November 13, 2025, sample viewing on November 20, 2025, written inquiries due by November 26, 2025, and final proposal submissions due December 10, 2025, at 2:00 p.m.
Contractors must maintain strict confidentiality of voter information and comply with federal certifications including debarment and suspension verification and Buy America requirements. The procurement emphasizes substantial Disadvantaged Business Enterprise (DBE) and small business participation mandates from the United States Department of Transportation, requiring contractors to submit an initial DBE/Small Business Participation Plan within 30 calendar days of award and maintain monthly documentation through phoenix.diversitycompliance.com. Contractors must demonstrate a minimum of seven years in business, maintain comprehensive insurance coverage, and perform background screenings. All changes to DBE subcontractor involvement require submission of the Request for Substitution/Exemption form to ptdcompliance@phoenix.gov. Upon contract completion or termination, contractors must destroy all Sensitive Security Information documents in compliance with applicable federal regulations, with destruction requirements effective by the contract end date.
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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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