Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Hydraulic Coupling Equipment Service
- Solicitation number
- IFB-26-0036
- 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 form appears to be a standard compliance document for a contract opportunity related to Hydraulic Coupling Equipment Service, requiring authorized representatives to acknowledge and agree to strict handling of sensitive security information controlled under federal regulations (49 C.F.R. Parts 15 and 1520). Signatories must commit to destroying specified documents upon completion of their review or by the contract's end date.
The contract opportunity, while described with minimal specific details, indicates a solicitation by the City of Phoenix for an unspecified value contract. The procurement will be conducted through the City's OpenGov e-Procurement Portal, with technical support available via email or portal support features. The contract's term is not definitively specified but will terminate upon reaching the end of its defined period or through specific termination provisions. Potential offerors are advised to contact the procurement officer for additional information about the solicitation.
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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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