Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP 26-FMD-024
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department. The related contract opportunity involves Security Systems Design, Installation, and Maintenance for a three-year term with a two-year option period, anticipated to commence on or about February 1, 2026. The solicitation will be available through the City's Procurement Portal, with technical support provided via OpenGov e-Procurement Portal.
The acknowledgement form specifically requires potential contractors to recognize the sensitive nature of the documents, which are controlled under 49 C.F.R. Parts 15 and 1520. Contractors must agree to handle and ultimately destroy these documents in compliance with federal regulations, with destruction mandated upon completion of their review or by the contract's end date. The contract will terminate upon reaching the end of its term or through specific provisions outlined in the agreement, with the exact start date contingent upon City Council award and recording by the City Clerk's department.
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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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