Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Environmental Lab Services State and local contract opportunity
- Solicitation number
- RFP GGS-26-0363
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in connection with aviation-related contract documents containing security-controlled information. The form requires authorized representatives of bidding companies to acknowledge receipt of documents subject to 49 C.F.R. Parts 15 and 1520, which restrict disclosure to individuals with a demonstrated "need to know." Signatories agree to comply with federal aviation security regulations and commit to destroying the sensitive documents upon completion of their review and use or by the contract end date, whichever occurs first. The form requires the authorized representative's printed name, signature, title, phone number, company name, and complete address.
The associated contract opportunity is for Environmental Lab Services with the City of Phoenix, with a seven-year term commencing October 1, 2026, or upon the Effective Date, whichever is later. There are no extension options available for this agreement. The City will accept sealed offers through its Procurement Portal, with technical support available for portal-related issues. The agreement will terminate upon the earliest of the following: expiration of the seven-year term or termination pursuant to the agreement's provisions. Procurement inquiries should be directed to the designated procurement officer, while portal-related support may be obtained through the OpenGov support system.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Environmental_Lab_Services.pdf | ||
| DBE-N_Annual_SBPP.pdf | ||
| Supplemental-Terms-And-Conditions-To-All-Airport-Contracts_Rev_4-29-26.pdf | ||
| Acceptance_of_Offer_Form_2026.pdf | ||
| Addendum_Form.docx | DOCX document | |
| Certification_of_Final_Payment_PTD_02_2026_(DBE-N).pdf | ||
| Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf | ||
| SAP_OCI_5_1.pdf |
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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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