Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Lower-Level Displays
- Solicitation number
- IFB-PCC-26-0084
- 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 the Lower-Level Displays project at the Phoenix Convention Center. The form serves as a template requiring authorized representatives of bidding companies to acknowledge receipt of security-controlled documents and agree to comply with federal regulations governing the handling and destruction of sensitive security information. The project involves the replacement of digital signage monitors at the Convention Center's Lower Level with new LED displays, specifically two 8.5 ft x 15 ft LED video wall displays and three 5 ft x 8 ft LED advertisement displays with 1.9mm pixel pitch specifications. A pre-offer conference and site visit are scheduled for September 25, 2025, with written inquiries due by October 1, 2025, and bid responses due on October 15, 2025, at 10:00 am. The contract term will span five years commencing approximately January 1, 2026.
The scope of work includes comprehensive services encompassing display installation, system integration with the existing 22Miles signage system, testing, operator training, and a five-year warranty and maintenance plan covering parts, labor, and repairs. The procurement emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to submit a Small Business Participation Plan within 30 calendar days after award and maintain documented compliance with federal regulations under 49 CFR Part 26. Payment terms default to 0% net 45 days, and the City reserves the right to purchase up to 100 percent of specified quantities. Contractors must demonstrate good faith efforts in promoting DBE-certified supplier participation, maintain contact logs, and report monthly expenditures through the City's Certification and Compliance System.
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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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