Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Lower-Level Displays
- Solicitation number
- IFB-PCC-26-0084
- 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 protect confidential information related to a specific project. The form requires authorized representatives to acknowledge the sensitive nature of documents governed by 49 C.F.R. Parts 15 and 1520, and commits signatories to destroy the referenced documents upon project completion or contract end date.
The related state and local contract opportunity involves the Phoenix Convention Center's procurement of new digital signage for its Lower Level. The project includes installing two 8.5 ft x 15 ft LED video wall displays and three 5 ft x 8 ft LED advertisement displays with a 1.9mm pixel pitch, compatible with the existing 22Miles signage system. The solicitation emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, with contractors required to submit a Small Business Participation Plan and track DBE involvement. The contract term is five years, starting around January 1, 2026, with a pre-offer conference scheduled for September 25, 2025, and bid responses due on October 15, 2025, at 10:00 am. The procurement includes comprehensive services such as installation, system integration, testing, training, and a five-year warranty, with the City reserving the right to purchase up to 100 percent of specified quantities.
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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 .