Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Purchase of Motorcycles
- Solicitation number
- 26-FSD-031
- 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 for use in connection with the purchase of motorcycles procurement. The form serves as a template for bidders and contractors to acknowledge receipt and understanding of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. The solicitation (IFB #26-FSD-031) was released on October 28, 2025, with a deadline for questions on November 7, 2025, and final response deadline of November 19, 2025, at 11:00 am. The City of Phoenix Public Works Department is procuring BMW R 1300 RT-P motorcycles or equivalent models for police operations under a three-year initial contract term commencing on or about February 1, 2026, with two potential one-year extensions. Delivery is expected to the City of Phoenix Fleet Services with new, current model year equipment.
The form requires authorized company representatives to acknowledge compliance with federal security information regulations and commit to destroying the sensitive documents upon completion of their need to review them or no later than the contract end date. All bidders must sign and return the completed acknowledgement form as part of their bid submission. The solicitation includes specific provisions for Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to submit annual DBE/Small Business Participation Plans and demonstrate good faith efforts through monthly documentation via the City's Certification and Compliance System. Pricing will be firm and fixed for the initial contract year with potential annual adjustments, and the City reserves the right to purchase additional quantities up to 100 percent of the specified amount.
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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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