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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .