Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Silica Dioxide
- Solicitation number
- IFB-26-0161
- 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 conjunction with a silica dioxide procurement contract for the City of Phoenix Water Services Department. The solicitation (IFB-26-0161) requests sealed bids for a five-year silica dioxide supply contract, specifically Grade #80 sand meeting NSF and AWWA standards with 95% or greater silica content, a 114 micron effective size, and a coefficient of uniformity less than 1.7. The estimated annual procurement volume is 1,000,000 pounds on an as-needed basis. A non-mandatory pre-offer conference is scheduled for January 16, 2026, at 2:00 p.m. via Webex, with written inquiries due by January 23, 2026, at 2:00 p.m. Sealed offers must be submitted through the City's Procurement Portal by February 3, 2026, at 2:00 p.m. The contract commences on or about April 1, 2026, and continues for five years until reaching the end of the term or through contractual termination provisions.
Pre-award qualifications require offerors to demonstrate a minimum of five years of business operation, obtain NSF compliance certification, submit product samples, and provide certified quality analysis from an EPA-certified laboratory. Contractors must maintain comprehensive insurance coverage including $2,000,000 in Commercial General Liability and $1,000,000 in Automobile Liability, along with appropriate Workers' Compensation coverage. Pricing must be quoted on a per-pound basis for 100% dry weight equivalent, with annual price increases permitted upon 60 days' written notice and supporting documentation subject to the Chief Procurement Officer's approval. The solicitation incorporates disadvantaged business enterprise requirements under 49 C.F.R. Parts 26 and 23, creating potential opportunities for diverse vendors. Delivery requirements include local inventory maintenance, provision of Safety Data Sheets and certificates of analysis with each delivery, and compliance with Department of Transportation and EPA hazardous materials regulations. Award will be granted to the lowest responsive and responsible offeror.
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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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