Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Evidence Bags
- Solicitation number
- IFB-26-0116
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The Sensitive Security Information Acknowledgement Form is a compliance document required by the City of Phoenix Aviation Department for the Evidence Bags procurement (IFB-26-0116). This form establishes that offerors and their authorized representatives acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which govern the handling and disclosure of transportation security-related materials. Signatories agree that information will only be disclosed to persons with a demonstrated "need to know" and commit to destroying all controlled documents upon the earlier of completion of their review or the contract end date. The form requires completion of specific fields including document titles, project name, contract end date, and authorized representative information (name, signature, title, phone number, and address) to ensure accountability and legal compliance with federal security regulations.
This acknowledgement form is a prerequisite requirement for participation in the Evidence Bags solicitation, a five-year initial term contract with five optional one-year renewal periods commencing May 1, 2026. The procurement incorporates federal compliance requirements under 49 CFR Part 26 regarding Disadvantaged Business Enterprise and Small Business Participation Plans, as the contract involves Federal Transit Administration-assisted projects. All bidders must execute the Sensitive Security Information Acknowledgement Form to demonstrate understanding of federal regulations governing security documentation, ensuring that sensitive materials related to police evidence management operations are handled only by authorized personnel with legitimate access needs.
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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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