Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Air Compressors, Dyers, Parts and Services
- Solicitation number
- IFB-26-0228
- 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 five-year air compressors, dryers, parts, and services contract commencing on or about June 1, 2026. The form is a template document that requires completion with specific project information and serves as a mandatory acknowledgement by bidders and contractors that they understand and will comply with federal security information regulations. The contract opportunity is being solicited through the City's Procurement Portal, with technical support available for portal-related issues and the procurement officer available for solicitation inquiries.
The form requires authorized representatives of bidding companies to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which restrict disclosure to individuals with documented "need to know" and impose penalties for unauthorized release. Signatories must commit to destroying the sensitive documents upon the earlier of their company's completion of review and use or by the contract end date. This acknowledgement applies specifically to individuals and entities seeking to bid on or participate in the City of Phoenix's air compressor and related services procurement, ensuring compliance with federal aviation security requirements and protecting the confidentiality of sensitive airport security information.
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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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