Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Electric Actuators
Solicitation number
IFB-26-0274
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 procurement involving electric actuators, parts, valves, gearboxes, accessories, and related software for the City of Phoenix Water Services Department. 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 and to commit to destruction of such documents upon completion of review or by the contract end date. The solicitation is structured as a five-year Invitation for Bid (IFB-26-0274) commencing May 1, 2026, through February 28, 2031. A pre-offer conference is scheduled for March 19, 2026, at 10:00 a.m. via WebEx, with written inquiries due by March 25, 2026, at 2:00 p.m., and sealed electronic offers required by April 2, 2026, at 2:00 p.m. through the City's Procurement Portal. Award will be made to the lowest responsive and responsible offeror.

Bidders must be authorized distributors for approved manufacturers including Asahi/America, Auma, Badger Meter, Beck, Emerson, Flowserve, Rexa, and US Koei Technologies, with a minimum five years of operational history. Pricing must be submitted as a percentage discount from each manufacturer's published list price applicable to the entire catalog, with labor services priced for standard hours (6:00 a.m. to 5:00 p.m. Monday-Friday), premium hours (5:01 p.m. to 5:59 a.m. and weekends), and emergency/holiday response. All prices are firm and fixed for the initial one-year period with potential annual increases upon 60 days' written notice. Contractors must comply with Disadvantaged Business Enterprise requirements under 49 C.F.R. Part 26, make prompt payment to subcontractors within seven days of receipt of payment, and maintain Commercial General Liability coverage with $2,000,000 general aggregate limits and $1,000,000 automobile liability coverage. No specific award value or budget range is disclosed in the available solicitation 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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

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