Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Loop Detector Installation Services State and local contract opportunity
- Solicitation number
- IFB-26-0049
- 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 loop detector installation services procurement. The form establishes protocols for handling security-sensitive documentation related to the contract opportunity, which involves comprehensive vehicle and bike detection installation services across Phoenix's transportation infrastructure. The solicitation encompasses 42 line items covering various detector types and sizes ranging from 6' x 6' to 6' x 70' for installation in both asphalt and concrete surfaces, with complementary services including loop detector lead-in saw cuts, traffic control, conduit installation, and concrete removal. The non-mandatory pre-offer conference was scheduled for October 3, 2025, with written inquiries due by October 10, 2025, and sealed offers due October 17, 2025, at 2:00 pm. The contract term extends five years commencing on or about December 1, 2025, with termination occurring upon the earliest of term expiration, exercise of extensions, or termination per agreement provisions.
Bidders accessing the sensitive security information controlled under 49 C.F.R. Parts 15 and 1520 must acknowledge the restriction and agree to destroy documents upon completion of review or by the contract end date, with unauthorized disclosure subject to civil penalties. The City of Phoenix expects significant activity under this contract, though no guaranteed quantities are promised. All contractors must demonstrate compliance with federal and local non-discrimination regulations, including Disadvantaged Business Enterprise provisions, civil rights guidelines, equal employment opportunities, and immigration and legal worker verification requirements. Vendors must navigate the City's OpenGov e-Procurement Portal and meet rigorous technical and operational standards outlined in the Traffic Signals Standard Details specifications provided by the City of Phoenix Street Transportation Department. No specific budget or funding source information is disclosed in the available procurement documents.
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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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