Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Powdered Activated Carbon
- Solicitation number
- IFB-26-0160
- 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 conjunction with a state and local contract opportunity related to powdered activated carbon procurement. The form serves as a template requiring authorized representatives from bidding companies to acknowledge receipt of documents containing sensitive security information governed by 49 C.F.R. Parts 15 and 1520, and to commit to destroying such documents upon completion of their review or by the contract end date, whichever occurs first. The City of Phoenix Water Services Department is soliciting sealed offers for a five-year powdered activated carbon supply contract with an anticipated start date of April 1, 2026. The procurement requires approximately 600,000 pounds of PAC annually meeting AWWA Standard 600 specifications for water treatment applications. A non-mandatory pre-offer conference is scheduled for January 16, 2026, at 10:00 AM via WebEx, with written inquiries due by January 23, 2026, at 2:00 PM. Sealed offers must be submitted through the City's Procurement Portal by February 3, 2026, at 2:00 PM, with proposals remaining firm for 180 calendar days.
Offerors must demonstrate pre-award qualifications including a minimum of five years in business, NSF certification compliance, Safety Data Sheets, EPA-certified laboratory quality analysis, and product samples for City testing. Pricing must be quoted on an FOB destination basis per active pound on a 100% dry weight equivalent basis, with annual price increase requests permitted if submitted in writing with 60 days' notice and supporting documentation. Award will be made to the lowest responsive and responsible offeror whose offer conforms to all material requirements, and successful offerors will have 14 calendar days after award notification to submit insurance certificates meeting specified minimum coverage amounts. Contractors must comply with DOT, EPA, and OSHA requirements for hazardous materials handling and delivery, and maintain heat safety plans for outdoor workers. The solicitation does not specify explicit set-aside designations or restrictions for disadvantaged enterprises, and the City reserves the right to award multiple contracts and purchase from alternative sources during emergencies.
View the file
Other files
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
| ______ | ||
| TITLE | PHONE NUMBER |
ADDRESS CITY, STATE AND ZIP CODE
File details come from the government source that posted it. Updated .