Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Part-Time Television Engineering Services
- Solicitation number
- IFB-26-0141
- 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 for use in connection with a part-time television engineering services contract (IFB-26-0141). The form pertains to documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which restrict disclosure to individuals with a demonstrated "need to know." The City of Phoenix Finance Department's Central Procurement Division is soliciting sealed bids for part-time television engineering services to support PHXTV operations under a five-year agreement commencing on or about May 16, 2026. A non-mandatory Pre-Offer Conference is scheduled for December 11, 2025, at 2:00 PM via WebEx, with written inquiries due by December 22, 2025. Sealed offers must be submitted by January 7, 2026, at 2:00 PM through the City's Procurement Portal. Qualified contractors must demonstrate a minimum of five years of television engineering experience and assign at least one Engineer in Charge for the project duration. The scope includes operation and maintenance of engineering facilities, technical support for production systems, live and remote production staffing, emergency repairs within three hours, and documentation compliance.
Contractors must submit hourly price rates that remain firm and fixed for the entire five-year contract term, with payment defaulting to net 45 days. The procurement includes mandatory Disadvantaged Business Enterprise (DBE) and Small Business Enterprise (SBE) participation requirements under 49 CFR Part 26, requiring contractors to demonstrate good faith efforts through proactive outreach and monthly reporting via the City's Certification and Compliance System. Contractors must maintain comprehensive insurance coverage, including $2,000,000 in Commercial General Liability, $1,000,000 in Automobile Liability, and statutory Workers' Compensation limits, with the City named as an additional insured. All contract workers must pass standard risk-level background screening and comply with FCC regulations. By signing the Sensitive Security Information Acknowledgement Form, authorized company representatives agree to comply with federal regulations controlling the sensitive documents and to destroy them upon completion of need or by the contract end date, whichever is earlier.
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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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