Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Exclusive Pouring Rights At The Phoenix Convention Center, Symphony Hall and Orpheum Theatre
Solicitation number
RCS PCC 26-0314
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 contract opportunity involving exclusive pouring rights at the Phoenix Convention Center, Symphony Hall, and Orpheum Theatre. The form is designed to protect documents containing Sensitive Security Information regulated under 49 C.F.R. Parts 15 and 1520. Authorized representatives of bidding companies must acknowledge receipt of restricted documents and agree to limit disclosure to personnel with a documented need to know. The contract opportunity itself involves the provision of non-alcoholic bottled, canned, and fountain beverage products at the three specified venues and associated City-managed parking facilities. The agreement will have an initial term of five years commencing on or about January 1, 2027, with one optional five-year renewal period, subject to City Council approval and compliance with Phoenix City Code recording requirements.

The acknowledgement form requires destruction of all sensitive documents upon the earlier of the recipient company's completion of its review and use or the contract end date, with unauthorized disclosure potentially resulting in civil penalties or other legal action. Companies must designate an authorized representative to sign and return the form, providing contact information and company address details. Prospective offerors should access the solicitation through the City's Procurement Portal and direct technical support inquiries to the portal's support function or procurement-support@opengov.com, with other solicitation-related questions directed to the designated procurement officer.

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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

File details come from the government source that posted it. Updated .