Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Powdered Activated Carbon
- Solicitation number
- IFB-26-0248
- 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 in conjunction with a powdered activated carbon procurement (IFB-26-0248) for the City of Phoenix Water Services Department. The City of Phoenix is soliciting sealed bids for the supply of powdered activated carbon on an as-needed basis under a five-year contract commencing on or about May 1, 2026. The powdered activated carbon must meet AWWA Standard 600 specifications and be National Sanitation Foundation (NSF) certified for use in water treatment with the ability to remove Total Organic Carbon. A non-mandatory pre-offer conference is scheduled for March 12, 2026 at 10:00 AM via Webex. Written inquiries are due by March 19, 2026 at 5:00 PM, and sealed bids must be submitted electronically through the City's Procurement Portal by March 26, 2026 at 2:00 PM. Award is expected to be made by City Council following the competitive bidding process, with the contract term extending five years from the effective date, with potential for extension as determined by the City.
Pricing must be submitted on a per-pound basis at 100% dry weight equivalent and per-gallon, with all prices quoted FOB destination and delivered. All prices shall be firm and fixed for the initial one-year period, with annual price increase requests permitted upon 60 days' written notice and supporting documentation. The contractor must be capable of delivering powdered activated carbon within five calendar days of order receipt while maintaining sufficient local inventory to support daily City requirements. Contractors must obtain comprehensive insurance coverage, comply with all federal, state, and local regulations, provide proof of NSF certification and independent laboratory analysis with each shipment, comply with Disadvantaged Business Enterprise requirements under 49 CFR Part 26, verify employee eligibility through the E-Verify program, and adhere to all nondiscrimination and heat safety mitigation protocols. No specific budget range, incumbent vendor information, or award value has been disclosed in the available solicitation materials. Documents containing Sensitive Security Information are controlled under 49 C.F.R. Parts 15 and 1520 and may only be disclosed to persons with requisite "need to know."
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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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