Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Traffic Signal Cabinet Art Wrap
Solicitation number
RFQu-26-0114
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. This form is related to a City of Phoenix Street Transportation Department solicitation (RFQu-26-0114) seeking artists to design vinyl wraps for traffic signal cabinets. The three-year contract, with potential for two additional one-year extensions, will commence around January 1, 2026. Artists will be responsible for creating design concepts, with the city compensating up to $1,500 per individual design request. The non-mandatory pre-offer conference is scheduled for October 29, 2025, with a response deadline of November 7, 2025, at 4:00 pm.

The solicitation includes robust Disadvantaged Business Enterprise (DBE) and small business participation requirements, mandating contractors to make good faith efforts to engage DBE-certified firms. Contractors must submit initial and annual Small Business Participation Plans and track monthly participation through the City's Certification and Compliance System. Design guidelines strictly prohibit political, religious, offensive, or violent content, and artists must use lighter color palettes to minimize heat buildup on cabinets. Evaluation criteria will focus on artistic merit (25%), potential for successful outcome (50%), and community engagement and collaboration (25%). While no specific budget is explicitly stated, the per-design compensation provides a baseline for potential contract value, and the solicitation emphasizes collaborative work with the city's project design team.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

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