Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Implementation, Operation, Management, and Maintenance of a Traditional Bike Share System in Phoenix
Solicitation number
RFP GGS-26-0017
Issued by
Maricopa County, Phoenix City, Arizona

About this file

The document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department. This form is an exhibit related to a document containing sensitive information controlled under federal regulations 49 C.F.R. Parts 15 and 1520. The form requires authorized representatives of companies to acknowledge the sensitive nature of the documents, agree to disclose information only to those with a "need to know," and commit to destroying the documents upon completion of their review or by the contract end date.

The accompanying state and local contract opportunity is for the Implementation, Operation, Management, and Maintenance of a Traditional Bike Share System in Phoenix. The City of Phoenix Street Transportation Department seeks a qualified respondent to install and operate a traditional bicycle rental program within the existing Shared Micromobility Program at no cost to the city. The primary objectives include providing diverse transportation options, expanding micromobility choices, reducing single-occupancy vehicle use, and increasing transportation access for underserved communities. The city aims to select a respondent based on overall response quality, customer service capabilities, and experience with bike share programs, rather than solely on projected revenue.

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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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