Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP GGS-26-0297
- 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 related to a Helicopter Pilot Training & Certification Services contract opportunity in Arizona. The form governs the handling of documents containing sensitive security information controlled under 49 C.F.R. Parts 15 and 1520, which pertain to aviation security protocols. The City of Phoenix is seeking sealed offers for helicopter pilot training and certification services under a five-year term commencing on or about January 1, 2027, with the effective date contingent upon City Council award and completion of signature and recording requirements by the Phoenix City Clerk's department as required by Phoenix City Code.
Signatories to this acknowledgement form agree to limit disclosure of the designated documents to persons with requisite "need to know" authorization and commit to destroying the documents upon the earlier of their company's completion of review and use or the contract end date. Unauthorized release of sensitive security information may result in civil penalties or other legal action. The form requires the authorized representative of the bidding company to provide signature, printed name, title, phone number, company name, and complete address information, establishing legal and operational responsibility for compliance with federal aviation security regulations throughout the contract term.
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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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