Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFP-EED-26-0244
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department related to the Head Start Birth to Five Program Classroom Behavior and Educational Coach Services procurement. The form establishes requirements for contractors and authorized representatives to acknowledge receipt of documents containing sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. The procurement seeks qualified behavior and education coaches to provide comprehensive classroom support services to children ages birth to five with challenging behaviors, as well as professional development and coaching services to teachers and childcare providers. Key service deliverables include classroom observations, in-the-moment interventions, coaching and modeling to staff and parents, documentation in the Child Plus system, and participation in staffing meetings. The contract will commence July 1, 2026, for an initial five-year term with potential extensions. The written inquiry deadline is March 20, 2026, with proposals due April 10, 2026, at 3:00 p.m. No pre-offer conference or mandatory site visit is scheduled.
Qualified contractors must demonstrate a minimum of five years of direct experience working with children ages zero to five with behavioral difficulties and possess either a bachelor's degree in social work, child development, education, or a related field, or equivalent early childhood education credentials. Pricing proposals must include hourly rates for coaching and education consultation services, per-day rates for professional development training delivery in in-person, virtual, and webinar formats, and itemized materials lists with associated pricing. This procurement is funded through Department of Health and Human Services Head Start program dollars and is subject to 45 CFR parts 75 and 1301-1305, including Disadvantaged Business Enterprise requirements under 49 CFR Part 26. All contractors must comply with federal certifications requirements, obtain background screening at the maximum risk level including fingerprint verification and criminal history checks, and maintain professional liability insurance with minimum limits of one million dollars per claim and two million dollars annual aggregate. The City will process invoice payments within forty-five days of receipt, with monthly billing required by the fifteenth of each month. No incumbent vendors are identified in this solicitation.
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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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