Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Fixed Wing Pilot Training PP24-284
- Solicitation number
- RFQu-26-0124
- 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 Fixed Wing Pilot Training contract (PP24-284). The form notifies recipients that documents related to this five-year fixed wing pilot training contract contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and may only be disclosed to persons with a documented "need to know." The contract is scheduled to commence on or about March 1, 2026, with the effective date occurring upon City Council award and signature by the Phoenix City Clerk's department. Unauthorized disclosure of the sensitive security materials may result in civil penalties or other legal action.
Prospective offerors and their authorized representatives must execute the acknowledgement form, agreeing to comply with all federal security information regulations and committing to destroy the sensitive documents upon the earlier of completing their review and use or upon the contract end date. The form requires the authorized representative to provide their printed name, signature, title, phone number, and company address. All persons with access to sensitive security information related to this solicitation must acknowledge receipt and understanding of these confidentiality and destruction requirements prior to obtaining the controlled materials.
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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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