Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Lutron Lighting Systems
Solicitation number
IFB PCC-26-0101
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 the Lutron Lighting Systems contract opportunity. The form requires authorized representatives of bidding companies to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520. The City of Phoenix is soliciting sealed offers for a five-year Lutron lighting systems contract for the Phoenix Convention Center, commencing on or about March 1, 2026. A non-mandatory pre-offer conference and site visit are scheduled for November 19, 2025, with written inquiries due by December 5, 2025, and final sealed offers due by December 19, 2025. The contract will be awarded by City Council and becomes effective upon signature and recording by the City Clerk's department, with termination upon the earliest occurrence of reaching the end of the term or through specific agreement provisions.

The pricing proposal is structured on an as-needed basis with two primary line items: technician hourly rates and parts discount rates based on catalog pricing. Bidders must be authorized Lutron Services providers with factory support and maintain at least two certified technicians on Lutron Quantum systems, as verified by a current letter from Lutron confirming distributor status. The procurement emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to submit monthly documentation through the City's Certification and Compliance System and provide an annual Small Business Participation Plan. All contractors must maintain comprehensive insurance coverage including commercial general liability and workers' compensation, with the City of Phoenix named as an additional insured, and comply with background screenings, safety protocols, and non-discrimination policies. The acknowledgement form requires signatory representatives to agree to destroy controlled documents upon contract completion or by the contract end date in compliance with federal security regulations.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

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