Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Inverted Marking Paint
- Solicitation number
- IFB-26-0237
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form for the City of Phoenix Aviation Department related to the Inverted Marking Paint contract opportunity (IFB-26-0237). The City of Phoenix, Finance Department, Central Procurement Division is soliciting sealed offers for inverted marking paint products to support municipal maintenance and operations under a five-year contract commencing September 1, 2026. The procurement establishes Krylon products as the performance benchmark standard. A non-mandatory pre-offer conference is scheduled for March 24, 2026, with written inquiries due by March 31, 2026, at 2:00 p.m., and sealed offers due April 7, 2026, at 2:00 p.m. through the City's Procurement Portal. All products must comply with Federal, State, and Maricopa County environmental regulations, including VOC content limits, and must be delivered within 10 calendar days of purchase order receipt between 7:00 a.m. and 1:30 p.m., Monday through Friday. Required submittals include product specification literature, Safety Data Sheets, VOC content percentages, and color chip charts for non-Krylon products.
Pricing must be submitted on a per-unit, firm and fixed basis for the initial two years, with any price increase requests requiring 60 days' written notice and supporting documentation. Award will be made to the lowest responsive and responsible offeror conforming to all material requirements. Vendors must maintain commercial general liability insurance with a $2,000,000 general aggregate limit and $1,000,000 each occurrence limit, plus workers' compensation insurance meeting statutory requirements. All contractors are subject to civil rights and nondiscrimination obligations under Title VI of the Civil Rights Act, Section 504 of the Rehabilitation Act, the Americans with Disabilities Act, and DBE requirements under 49 C.F.R. Part 26. Contractors must verify employment eligibility through E-Verify and maintain heat safety plans for outdoor workers. The acknowledgement form requires authorized representatives to acknowledge receipt of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520 and agree to destroy such documents upon completion of review or by the contract end date. Payment will be made within 30 to 45 calendar days of correct invoice receipt, with pricing quoted F.O.B. destination to addresses specified in purchase orders.
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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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