Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
HVAC Filter Maintenance and Repair
Solicitation number
27-FMD-007
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This document is a Sensitive Security Information Acknowledgement Form for the City of Phoenix Aviation Department, designed to protect documents containing security information controlled under 49 C.F.R. Parts 15 and 1520. The form requires authorized representatives of bidding companies to acknowledge receipt of sensitive security materials related to the HVAC Filter Maintenance and Repair contract and commit to restricting disclosure to personnel with a legitimate need to know. The form serves as a compliance mechanism for the City of Phoenix Public Works Department's solicitation for full-service HVAC filter maintenance and repair services at approximately 120 municipal facilities across multiple departments. The contract period commences September 1, 2026, for an initial three-year term with two optional one-year extension periods. Key response deadlines include a pre-offer conference on February 18, 2026, at 9:00 a.m. via Microsoft Teams; a written inquiry deadline of March 25, 2026, at 9:00 a.m.; and sealed offer submission due April 8, 2026, at 11:00 a.m. through the City's Procurement Portal.

The acknowledgement form requires contractors to pledge destruction of all sensitive security documents upon completion of their review and use or no later than the contract end date, in full compliance with federal regulations. All offerors must be in operation for a minimum of five years with demonstrated experience providing equivalent goods or services and must maintain all required licenses and certifications. The City of Phoenix has established Disadvantaged Business Enterprise (DBE) and Small Business Participation Plan requirements under 49 C.F.R. Part 26, mandating successful contractors to submit comprehensive initial and annual DBE participation plans and maintain documentation of good faith efforts to engage DBE-certified suppliers. Contractors must also comply with federal civil rights regulations, Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act, Section 504 of the Rehabilitation Act of 1973, E-Verify employment eligibility verification, and City of Phoenix Equal Employment Opportunity requirements under Phoenix City Code Chapter 18. All offerors must register with both the City's Procurement Portal and the procurePHX Self-Registration System prior to contract execution and may be subject to background screening.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

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