Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Chlorine and PH Analyzers
- Solicitation number
- IFB-26-0142
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department in conjunction with a state and local contract opportunity for chlorine and pH analyzers managed by the City of Phoenix Water Services Department. The form establishes requirements for the handling of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520, specifying that authorized representatives from bidding companies must acknowledge receipt of restricted documents and agree to their proper handling. The five-year contract (IFB-26-0142) commences on or about January 21, 2026, and targets manufacturers including Rosemount, ABB, and Endress + Hauser to supply chlorine and pH analyzers for the Water Production and Wastewater Treatment divisions. The procurement requires submission of sealed offers by November 17, 2025, at 2:00 pm, with a non-mandatory pre-offer conference scheduled for November 6, 2025, at 10:00 am via Webex, and written inquiries due by November 12, 2025.
The contract requires new equipment with specific technical specifications including analyzer ranges from 0 to 10 ppm, temperature compensation, LCD displays, and various mounting options to ensure continuous monitoring of free chlorine, total chlorine, monochloramine, and pH levels in compliance with EPA Safe Drinking Water Act and Clean Water Act standards. Contractors must maintain a local Phoenix warranty source, ensure product compatibility with existing city systems, and deliver to various Phoenix locations. The contract includes mandatory Disadvantaged Business Enterprise (DBE) and Small Business Participation requirements, with contractors required to submit participation plans within 30 calendar days of award and track DBE participation through the City's Certification and Compliance System. Pricing will be firm and fixed for the initial contract year with potential annual adjustments. Contractors must comply with Title VI of the Civil Rights Act, provide comprehensive documentation including operating manuals and repair services, and meet extensive qualifications including background screening and specific insurance requirements. The City reserves the right to modify quantities as needed and will terminate the agreement upon reaching the end of the term or upon contract termination provisions.
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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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