Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Lutron Lighting Systems
Solicitation number
IFB PCC-26-0101
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Sensitive Security Information Acknowledgement Form prepared by the City of Phoenix Aviation Department for use in connection with the Lutron Lighting Systems contract opportunity. The form establishes compliance requirements for handling controlled security information under 49 C.F.R. Parts 15 and 1520, requiring authorized representatives to acknowledge that project documents contain sensitive security information accessible only to personnel with a demonstrated need to know. The City of Phoenix is soliciting sealed offers for a five-year Lutron lighting systems contract for the Phoenix Convention Center, commencing on or about March 1, 2026. The procurement includes a non-mandatory pre-offer conference and site visit scheduled for November 19, 2025, with written inquiries due by December 5, 2025, and sealed offers due by December 19, 2025. The contract encompasses comprehensive lighting system support services including preventive and corrective maintenance, remote and onsite diagnostics, system optimization, parts replacement, technical consultation, and emergency response. Contract award is contingent upon City Council approval and execution by the City Clerk's department, with termination possible at the end of the term or through specific agreement provisions.

Bidders must be authorized Lutron Services providers with factory support and maintain at least two certified technicians on Lutron Quantum systems, demonstrated through current Lutron distributor status confirmation. The pricing proposal structure utilizes an as-needed basis with two primary line items: technician hourly rates and parts discount rates based on catalog pricing. The solicitation includes significant Disadvantaged Business Enterprise (DBE) and small business participation requirements, mandating contractors demonstrate good faith efforts to promote DBE firm involvement and submit monthly documentation of DBE and small business participation through the City's Certification and Compliance System, along with an annual Small Business Participation Plan. Contractors must maintain comprehensive insurance coverage including commercial general liability and workers' compensation, with the City of Phoenix named as additional insured, and comply with background screening, safety protocols, and non-discrimination policies. Authorized representatives acknowledging this form must agree to destroy all documents upon project completion or by the contract end date in compliance with federal security regulations, with unauthorized release potentially resulting in civil penalties.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .