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 protect confidential information related to government contracts. The form requires authorized representatives to acknowledge the sensitive nature of specific documents governed by federal regulations (49 C.F.R. Parts 15 and 1520), and commit to destroying these documents upon contract completion or by a specified end date.
The associated contract opportunity is for Concrete Flatwork Services (IFB 26-0078), a five-year contract beginning approximately June 1, 2026. The City of Phoenix is seeking comprehensive concrete installation and replacement services across the Phoenix Metro area, including sidewalks, ramps, walls, curbs, steps, and light pole bases. The solicitation emphasizes Disadvantaged Business Enterprise (DBE) and Small Business participation, requiring contractors to submit detailed unit costs, DBE participation plans, and monthly documentation of small business engagement. Contractors must provide pricing for various concrete work categories, with estimated annual quantities ranging from 2 to 10,000 units. Key procurement dates include a pre-offer conference on October 15, 2025, written inquiries due by October 29, 2025, and a bid response deadline of November 12, 2025, at 2:00pm.
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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 .