Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Bypass Spools and Tailpieces
- Solicitation number
- IFB-26-0112
- 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 release of sensitive documents under 49 C.F.R. Parts 15 and 1520. The form requires authorized representatives to acknowledge the sensitive nature of the documents, agreeing to destroy them upon completion of their review or by the contract end date, in compliance with federal regulations.
The related state and local contract opportunity is an Invitation for Bid (IFB-26-0112) issued by the City of Phoenix Water Services Department for stainless steel bypass spools, stainless steel tailpieces, and ductile iron flanged fittings. The five-year contract, set to commence around January 1, 2026, includes 132 line items of water meter assembly components ranging from 3 to 12 inches in diameter. Key requirements include a minimum of five years of business experience, a non-mandatory pre-offer conference on October 29, 2025, written inquiries due by November 5, 2025, and sealed offers due on November 12, 2025. The contract mandates Disadvantaged Business Enterprise (DBE) participation, requires a Small Business Participation Plan, and includes specific insurance coverage requirements with payment processed within 30 to 45 calendar days.
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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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