Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Event Equipment Rental Services
- Solicitation number
- PKS-IFB-26-0175
- 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 contract opportunity. The form pertains to the Event Equipment Rental Services solicitation (PKS-IFB-26-0175) issued by the City of Phoenix Parks and Recreation Department, which seeks a contractor to provide comprehensive equipment rental services across 150 line items including seating, tables, tents, canopies, staging, audio-visual equipment, lighting, power distribution, crowd control accessories, and climate control equipment. The contract term is five years, commencing on or about April 1, 2026. A non-mandatory pre-offer conference is scheduled for January 6, 2026, at 11:00 AM, with a written inquiry deadline of January 9, 2026, and offer submissions due by January 26, 2026, at 2:00 PM. Vendors must guarantee delivery within two working days for non-emergency purchases and within four hours for emergency services with no additional delivery fees permitted.
The acknowledgement form requires authorized company representatives to acknowledge and comply with 49 C.F.R. Parts 15 and 1520 regarding Sensitive Security Information handling and destruction. Contractors must maintain comprehensive insurance coverage including $2,000,000 in General Liability, $1,000,000 in Automobile Liability, and statutory Workers' Compensation limits. Pricing will be firm and fixed for the initial one-year period, with annual price increase requests permitted thereafter upon written documentation. Liquidated damages of $2,000 per calendar day apply for delays in equipment setup, takedown, breakdown, and cleanup. The contract will be awarded to the lowest responsive and responsible bidder meeting all specifications, with provisions for potential Disadvantaged Business Enterprise participation and compliance with nondiscrimination requirements under Title VI of the Civil Rights Act, the Americans with Disabilities Act, and equal employment opportunity provisions.
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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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