Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
PVC / CPVC Pipe, Valves and Fittings
Solicitation number
IFB-26-0271
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 in connection with a PVC/CPVC pipe, valves, and fittings procurement solicitation for the City of Phoenix Water Services Department. The form requires authorized company representatives to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and to certify understanding that unauthorized disclosure may result in civil penalties. Signatories agree to destroy the specified documents upon the earlier of their company's completion of its need to review and use the materials or by the contract end date. The underlying solicitation (IFB-26-0271) seeks sealed bids for PVC/CPVC pipe, valves, fittings, tanks, and associated components across 141 line items for a five-year contract term commencing June 1, 2026. The non-mandatory pre-offer conference is scheduled for March 12, 2026, at 10:00 a.m. via WebEx; written inquiries are due by March 19, 2026, at 2:00 p.m.; and sealed bids must be submitted by March 26, 2026, at 2:00 p.m. through the City's Procurement Portal.

Pricing must be submitted as firm and fixed for the initial one-year period on a per-unit basis, with a single percentage discount from the manufacturer's published price list applicable to the entire catalog; annual price increases are permitted after year one with 60 days' written notice, subject to the Chief Procurement Officer's approval. Offerors must have a minimum of five years' prior operation providing the requested goods, current registration in the City's Procurement Portal and procurePHX Self-Registration System, and must submit certificates of insurance within 14 calendar days of award notification. Vendors must maintain sufficient local inventory for daily support and over-the-counter sales, with deliveries required between 7:00 a.m. and 2:00 p.m., Monday through Friday, excluding city holidays. All products must be new, unused, original equipment manufacturer items from approved manufacturers with no substitutions permitted unless expressly authorized in writing by the City's Procurement Officer prior to bid submission. The solicitation is subject to comprehensive nondiscrimination and civil rights requirements, including compliance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, the Age Discrimination Act of 1975, Disadvantaged Business Enterprise regulations under 49 CFR Part 26, and Airport Concessions DBE requirements under 49 CFR Part 23. The City reserves the right to award by individual line items, by group, all or none, or any combination most advantageous to the City, and may award multiple contracts to different vendors.

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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

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