Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Powdered Activated Carbon
- Solicitation number
- IFB-26-0248
- 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 to accompany documents related to a powdered activated carbon supply contract for the City of Phoenix Water Services Department. The form is a template designed to control disclosure of documents containing Sensitive Security Information governed by 49 C.F.R. Parts 15 and 1520, restricting access to individuals with a "need to know" basis only. The City of Phoenix Water Services Department is soliciting sealed bids (IFB-26-0248) for the supply of powdered activated carbon on an as-needed basis under a five-year contract effective on or about May 1, 2026. A non-mandatory pre-offer conference is scheduled for March 12, 2026 at 10:00 AM via Webex, with a written inquiry deadline of March 19, 2026 at 5:00 PM and bids due on March 26, 2026 at 2:00 PM. The powdered activated carbon must meet AWWA Standard 600 specifications and be National Sanitation Foundation (NSF) certified for water treatment use with Total Organic Carbon removal capability. Award is expected following the competitive bidding process and City Council approval.
Pricing must be submitted on a per-pound basis (100% dry weight equivalent) and per-gallon, with all prices quoted FOB destination and delivered. All prices shall be firm and fixed for the initial one-year period, with annual price increase requests permitted upon 60 days' written notice and supporting documentation. The contractor must deliver powdered activated carbon within five calendar days of order receipt while maintaining sufficient local inventory to support daily City requirements. Contractors must obtain comprehensive insurance coverage, comply with all federal, state, and local regulations including Department of Transportation, Environmental Protection Agency, and Occupational Safety and Health Administration requirements, and provide proof of NSF certification and independent laboratory analysis with each shipment. All contractors and subcontractors must comply with nondiscrimination requirements under Title VI of the Civil Rights Act, the Immigration Reform and Control Act with E-Verify verification, Disadvantaged Business Enterprise requirements under 49 CFR Part 26, and heat safety mitigation protocols for outdoor workers. No incumbent vendor information or budget range has been disclosed.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
File details come from the government source that posted it. Updated .