Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Lifeguard Uniforms
Solicitation number
PKS-IFB-26-0193
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 state and local contract opportunity. The form serves as a compliance document requiring authorized representatives of bidding companies to acknowledge and agree to the handling restrictions of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. Signatories must confirm their understanding that the documents contain information with restricted disclosure limited to individuals with requisite "need to know" and that unauthorized release may result in civil penalties or other legal action. The form requires completion of specific fields including document titles, project names, company information, authorized representative details, and the contract end date by which the documents must be destroyed in accordance with applicable federal regulations.

The acknowledgement form applies to the City of Phoenix's five-year Lifeguard Uniforms contract, with the effective date upon City Council award and signature by the City Clerk's department as required by Phoenix City Code, with the contract commencing on or about April 1, 2026. This document represents a standard procedural requirement for bidders and vendors who will have access to security-sensitive materials related to airport or aviation operations. All offerors must complete and sign the acknowledgement to demonstrate compliance with federal regulations governing the protection and ultimate destruction of sensitive security information upon contract completion or a specified deadline, whichever occurs first.

View the file

Other files

Show all 23

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

File details come from the government source that posted it. Updated .