Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- IFB-PCC-26-0184
- 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 for use in conjunction with a fire sprinkler inspection, testing, and maintenance contract. The form serves as a compliance document designed to protect controlled security information in accordance with 49 C.F.R. Parts 15 and 1520. The five-year fire sprinkler contract is set to commence on or about October 1, 2026, with the effective date occurring upon City Council award, signature, and recording by the City Clerk's department, or as otherwise defined in the Phoenix City Code. The contract will terminate upon the earliest occurrence of reaching the end of the contract term including any extensions, or termination pursuant to agreement provisions.
The acknowledgement form requires authorized representatives of bidding companies to confirm receipt and understanding of sensitive security information restrictions, including limitations on disclosure to individuals with requisite "need to know" status. Signatory officers must acknowledge responsibility for destroying all controlled documents either upon completion of their review and use or by the contract end date, whichever is earlier. Unauthorized disclosure of such information may result in civil penalties or other legal action. The form is template-based, requiring project-specific details including document titles, project names, and contract end dates to be completed prior to execution. This document is a standard compliance requirement for individuals and organizations seeking to participate in or support airport and aviation-related procurement activities for the City of Phoenix.
View the file
Other files
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 .