Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Home Inspection Services For Single-Family Homes
- Solicitation number
- RFP FY26-086-03
- 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 is designed to control the disclosure of sensitive documents related to aviation projects, requiring signatories to understand and comply with federal regulations under 49 C.F.R. Parts 15 and 1520. Authorized representatives must agree to protect and ultimately destroy sensitive documents upon completion of their review or by the contract's end date.
The related state and local contract opportunity involves home inspection services for single-family homes in Phoenix, Arizona. The contract is anticipated to commence on or about January 1, 2026, with a five-year term. Potential vendors must submit sealed offers through the City's Procurement Portal, with technical support available via email. The contract will terminate upon reaching the end of its term or through other provisions outlined in the agreement. Interested parties are advised to review the full solicitation details and contact the procurement officer for specific information about the home inspection services opportunity.
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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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