Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Energy Management Control Systems (EMCS) Repair Services
Solicitation number
IFB-26-0255
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department related to the Energy Management Control Systems (EMCS) Repair Services contract opportunity. The form is designed to ensure that individuals and companies accessing security-sensitive documents understand the restrictions governing their use and disclosure. The City of Phoenix is soliciting electronic offers for EMCS Repair Services on a three-year term with two optional one-year extensions, with an anticipated commencement date of August 1, 2026. The contract will become effective upon City Council award and signature and recording by the City Clerk's department, whichever occurs later. Interested offerors must submit proposals through the City's Procurement Portal, with technical support available through the portal's support feature or by contacting procurement-support@opengov.com.

The Sensitive Security Information Acknowledgement Form requires authorized representatives of bidding companies to acknowledge receipt of security-controlled documents and commit to their proper handling and destruction in compliance with 49 C.F.R. Parts 15 and 1520. Signatory representatives must agree to destroy all sensitive documents upon the earlier of the company's completion of its need to review and use them or by the contract's end date. Unauthorized disclosure of this information may result in civil penalties or other legal action. The form mandates that documents be disclosed only to persons with a demonstrated "need to know," and for U.S. government agencies, public disclosure is further governed by 5 U.S.C. 552 and the referenced Code of Federal Regulations sections.

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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

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