Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Inverted Marking Paint
Solicitation number
IFB-26-0237
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This file is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department, establishing protocols for the handling of classified security documentation related to a state and local contract opportunity. The form requires authorized representatives to acknowledge receipt of sensitive security information governed by 49 C.F.R. Parts 15 and 1520, restricting disclosure to individuals with "need to know" access only. Signatories agree to destroy all specified documents upon the earlier of project completion or the contract end date. The form serves as a template requiring completion with specific document titles, project names, contract end dates, and authorized representative information including name, signature, title, phone number, and address.

This acknowledgement form is associated with the City of Phoenix's Inverted Marking Paint solicitation (IFB-26-0237), a five-year supply contract commencing September 1, 2026. The procurement involves sealed offers for inverted marking paint products with Krylon products as the performance benchmark standard. Key dates include a non-mandatory pre-offer conference on March 24, 2026, a written inquiry deadline of March 31, 2026, at 2:00 p.m., and sealed offer submission deadline of April 7, 2026, at 2:00 p.m. through the City's Procurement Portal. Pricing must be firm and fixed for the initial two years, with price increase requests requiring 60 days' notice and supporting documentation. All vendors must maintain commercial general liability insurance with a $2,000,000 general aggregate limit and $1,000,000 each occurrence limit, along with workers' compensation insurance. Award will be made to the lowest responsive and responsible offeror, with payment due within 30 to 45 calendar days of invoice receipt.

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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 .