Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Vehicle Locksmith Services
- Solicitation number
- RFQ-27-FSD-0451-2
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This file is a Sensitive Security Information Acknowledgement Form for the City of Phoenix Aviation Department related to a Vehicle Locksmith Services contract opportunity in Arizona. The form is designed to control disclosure of sensitive security information governed by 49 C.F.R. Parts 15 and 1520, restricting access to persons with a demonstrated "need to know." The Vehicle Locksmith Services contract carries a three-year initial term commencing December 1, 2026, with two optional one-year extensions exercisable solely at the City's discretion. The solicitation is available through the City's Procurement Portal, with technical support available through the portal's support function or at procurement-support@opengov.com.
The form requires authorized company representatives to acknowledge receipt of sensitive documents and commit to their destruction upon the earlier of project completion or the contract end date, in compliance with applicable federal regulations. Signatories must provide company name, representative name and title, phone number, and complete address. The contract will terminate upon reaching the end of its term, including any exercised extensions, or upon termination pursuant to the agreement's provisions. This acknowledgement form serves as a protective mechanism to ensure compliance with federal security information requirements and must be executed as part of the solicitation process.
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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
File details come from the government source that posted it. Updated .