Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in conjunction with a cancer screening services contract. The form serves as a template to be completed for documents containing sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. The City of Phoenix is procuring comprehensive cancer screening services for approximately 14,000 city employees, with particular emphasis on first responders and firefighting personnel who face elevated occupational cancer risks. The contract will commence on or about July 1, 2027, with a five-year term. Key dates include a pre-offer conference scheduled for January 12, 2026 at 2:00 PM, written inquiries due by January 23, 2026 at 2:00 PM, and sealed proposals due on February 2, 2026 at 2:00 PM. The selected vendor must provide an extensive range of screening services including dermatology consultations, full body skin examinations, low-dose lung CT scans, MRI imaging, ultrasounds, colonoscopy, endoscopy, pathology, PET-CT scans, PSA testing, and blood work with post-examination consultations.

The maximum annual contract value is $3,500,000 with firm and fixed pricing for the initial one-year period and potential annual price increase requests permitted with 60 days' written notice. Contractors must maintain a principal place of business in the Phoenix metropolitan area and demonstrate a minimum of five years' experience performing all specified screening services. Insurance requirements include $2,000,000 in Commercial General Liability, $1,000,000 in Professional Liability/Medical Malpractice coverage per claim, and $1,000,000 in Network Security and Privacy Liability per claim. The solicitation mandates significant Disadvantaged Business Enterprise and Small Business participation requirements, with contractors required to submit initial and annual Small Business Participation Plans within 30 calendar days of contract award. Vendors must execute a Business Associate Agreement to ensure HIPAA compliance, adhere to strict background screening and data protection standards, and comply with federal, state, and local regulations including FTA certifications. Monthly invoicing must include detailed itemization of each screening, test, procedure, and associated cost, with payment processed within 45 days of invoice receipt.