Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Concrete Flatwork Services
- Solicitation number
- IFB 26-0078
- 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, designed to control the disclosure of sensitive documents related to government contracts. The form requires authorized representatives to acknowledge the confidential nature of specific documents governed by 49 C.F.R. Parts 15 and 1520, and mandates their destruction upon completion of contract needs or by the contract end date. This form is associated with a concrete flatwork services contract (IFB 26-0078) soliciting bids for a five-year contract beginning around June 1, 2026, covering comprehensive concrete installation and replacement services across the Phoenix Metro area.
The contract encompasses concrete work ranging from 2,500 to 6,000 PSI, including sidewalks, ramps, walls, curbs, steps, and light pole bases for new construction, replacement, and specialized services. There is a strong emphasis on Disadvantaged Business Enterprise (DBE) and Small Business participation, with contractors required to submit initial and annual participation plans, document monthly DBE engagement, and track expenditures. The procurement includes provisions for heat safety, immigration compliance, and adherence to federal aviation regulations. The pre-offer conference is scheduled for October 15, 2025, with written inquiries due by October 29, 2025, and bid responses due November 12, 2025, at 2:00pm. Contractors must provide detailed unit costs covering all associated expenses, with estimated annual quantities ranging from 2 to 10,000 units depending on specific services.
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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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