Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Evidence Bags
- Solicitation number
- IFB-26-0116
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
Sensitive Security Information Acknowledgement Form Summary
This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in the Evidence Bags procurement (IFB-26-0116). The form serves as a regulatory compliance document requiring authorized representatives of bidding companies to acknowledge receipt and understand handling requirements for documents containing security information controlled under 49 C.F.R. Parts 15 and 1520. The acknowledgement commits signatories to restrict disclosure to individuals with demonstrated "need to know," comply with federal aviation security regulations, and destroy all documents upon the earlier of project completion or the contract end date of approximately May 1, 2031 (five-year initial term). The form requires completion with the company name, authorized representative's printed name and signature, title, phone number, and full address before submission with the sealed bid.
Execution of this acknowledgement form is mandatory for all bidders participating in the Evidence Bags solicitation and must accompany the sealed offer due by March 3, 2026, at 3:00 p.m. The requirement underscores the City's compliance obligations under federal transportation security statutes and protects sensitive operational information related to Phoenix Police Department evidence management systems. Failure to properly execute and return this form may result in bid rejection as non-responsive.
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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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