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 five-year vending machines, maintenance, and parts contract commencing on or about May 20, 2026. The form establishes that certain solicitation documents contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and may only be disclosed to persons with a demonstrated need to know. Sealed offers for this procurement must be submitted by March 10, 2026, with contract effectiveness contingent upon City Council award and execution and recording by the City Clerk's department in accordance with Phoenix City Code. The contract term extends for five years from the commencement date, with termination occurring upon the earliest of contract expiration including any exercised extensions or termination pursuant to agreement provisions. Technical support for portal-related questions is available through the City's Procurement Portal support function or via email at procurement-support@opengov.com, while other solicitation inquiries should be directed to the designated procurement officer.

Respondents executing this acknowledgement form agree on behalf of themselves and their company to maintain the confidentiality of all controlled documents and to destroy such materials upon the earlier of completing their review and use of the documents or by the contract end date, in compliance with applicable federal regulations regarding sensitive security information. Unauthorized disclosure may result in civil penalties or other legal action. The presence of this acknowledgement form and references to airport-related supplemental terms and conditions within the solicitation package indicate that certain vending machine facilities may be located at Phoenix aviation facilities, thereby triggering heightened security classification requirements. Interested vendors must review all solicitation documents thoroughly, including the main vending machines procurement document and any supplemental terms, prior to submittal.

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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

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