Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Vending Machines, Maintenance, and Parts
Solicitation number
IFB-26-0247
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 vending machines, maintenance, and parts procurement contract. The form establishes protocols for handling documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520. Authorized representatives of bidding companies must acknowledge receipt of specified documents, confirm understanding of disclosure restrictions, and commit to destroying the materials upon the earlier of contract completion or the stated contract end date. The form requires signature and identification information from the company's authorized representative, including printed name, title, phone number, and address. Sealed bids for this five-year vending services contract are due March 10, 2026, with an effective date on or about May 20, 2026, contingent upon City Council award and City Clerk recording per Phoenix City Code requirements.

The acknowledgement form does not address pricing terms, set-asides, incumbent information, or funding details, as it functions solely as a compliance document governing the protective handling of security-sensitive procurement materials. Bidders are required to execute this form as a condition of receiving and reviewing solicitation documents that contain restricted security information. Unauthorized disclosure of the Sensitive Security Information carries potential civil penalties and other legal consequences. The form indicates that airport facilities may be involved in this procurement, given the Aviation Department's involvement, though specific facilities, budget allocations, and current vendor information are not addressed in this document.

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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .