Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFQu-26-0091
- 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 a state and local contract opportunity related to acquisition, relocation, and related real estate services. The form serves as a mandatory disclosure document that binds contractors and their authorized representatives to the confidentiality requirements established under 49 C.F.R. Parts 15 and 1520 regarding sensitive security information. Signatories acknowledge receipt of controlled documents, agree to limit disclosure to individuals with a documented need to know, and commit to destroying all materials upon the earlier of project completion or the contract end date. The form requires the authorized representative's signature, printed name, title, phone number, company name, and complete address. Unauthorized release of the information may result in civil penalties or other legal action, with public disclosure for U.S. government agencies governed by 5 U.S.C. 552 and applicable regulations.
The City of Phoenix Finance Department, Real Estate Division is issuing this acknowledgement in connection with Request for Qualifications RFQu-26-0091, a five-year acquisition, relocation, and related real estate services contract commencing April 1, 2026. The procurement requires contractor compliance with federal security and confidentiality protocols, including proper handling and destruction of sensitive aviation security materials. Qualified contractors must have a minimum three-year operating history, hold an active Arizona real estate license, and comply with all relevant federal regulations including those from the FAA, FTA, FHWA, and HUD. A non-mandatory pre-offer conference is scheduled for March 12, 2026, at 1:00 PM via Webex, with written inquiries due by March 27, 2026, at 2:00 PM, and proposals due April 3, 2026, at 2:00 PM Phoenix time. Upon award, contractors must submit certificates of insurance within 14 calendar days with minimum coverage limits of $2,000,000 general aggregate liability, $1,000,000 professional liability per claim, and $1,000,000 automobile liability. Additional requirements include DBE compliance for FTA-assisted projects, federal debarment certifications, Arizona E-Verify compliance, and monthly tracking of small business participation through the City's Certification and Compliance System.
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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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