Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Purchase of Vehicle Batteries
- Solicitation number
- IFB 26-FSD-011
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department. This form is associated with a vehicle battery purchase solicitation for a three-year term with two potential option years, commencing on or about October 1, 2025. The contract will be awarded by the Phoenix City Council and is available through the City's OpenGov e-Procurement Portal. Potential vendors can seek technical support via the portal's support bubble or by emailing procurement-support@opengov.com, and must contact the designated procurement officer for specific solicitation inquiries.
The acknowledgement form specifically addresses the handling of sensitive security information, requiring signatories to protect documents controlled under 49 C.F.R. Parts 15 and 1520 and agreeing to destroy documents upon contract completion or by the specified contract end date. The solicitation is specific to Arizona and will terminate upon reaching the end of its term or through provisions outlined in the agreement. Vendors must complete the form, providing company details, authorized representative information, signature, title, contact information, and address to participate in the procurement process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Purchase_of_Vehicle_Batteries_(Addendum_#2_Revision).pdf | ||
| Acceptance_of_Offer_Form_2025.pdf | ||
| Supplemental_Terms_and_Conditions_to_All_Airport_Agreements.pdf | ||
| Addendum_Form.docx | DOCX document |
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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
File details come from the government source that posted it. Updated .