Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Pavement Marking Tape
Solicitation number
IFB-26-0037
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. The form is related to a pavement marking tape procurement opportunity for a five-year contract expected to commence on or about January 1, 2026. The solicitation is being issued by the City of Phoenix as the lead entity and will be conducted through the Procurement Professionals Alliance RFxPremier cooperative purchasing program, with offers to be submitted through the City's Procurement Portal.

The contract will terminate upon reaching the end of its term or through other specified termination provisions. Potential vendors must complete the acknowledgement form, recognizing the sensitive nature of the documents and agreeing to destroy them in compliance with federal regulations (49 C.F.R. Parts 15 and 1520). Technical support for the procurement process is available through OpenGov e-Procurement Portal's support bubble or by email, with additional contact information provided for procurement-related inquiries. The solicitation is specific to Arizona and will be awarded by the City Council after appropriate signatures and recordings.

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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

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