Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Manhole Pest Control Services State and local contract opportunity
Solicitation number
IFB-27-0400
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department related to a Manhole Pest Control Services contract opportunity in Arizona. The form serves as a required acknowledgement that bidders and contractors understand the confidential nature of documents containing Sensitive Security Information governed by 49 C.F.R. Parts 15 and 1520. The document establishes that participating parties must restrict disclosure to individuals with a demonstrated "need to know" and acknowledge their responsibility to destroy all sensitive materials upon the earlier of either completion of their review and use or the contract end date. Authorized representatives from bidding companies must sign and date the acknowledgement form, providing their printed name, title, phone number, and complete address.

The underlying contract opportunity for Manhole Pest Control Services is listed at no value and will commence upon a date specified by City Council approval, on or after the ordinance-approved start date. The agreement term will extend for a specified number of years from the commencement date, with potential renewal options exercisable at the City's sole discretion. The contract will terminate upon the earlier of reaching the end of the term including any extensions or upon termination pursuant to the agreement's provisions. Sealed offers are submitted through the City's Procurement Portal, with technical support available through the portal interface or via procurement-support@opengov.com.

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Other files for this state and local contract opportunity

Other files attached to Manhole Pest Control Services, newest first.
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Manhole_Pest_Control_Services_(Addendum_#1_Revision).pdf PDF
Manhole_Pest_Control_Services.pdf PDF
Addendum_Form.docx DOCX document
SAP_Open_Catalog_Interface_5_1.pdf PDF
Supplemental_-Terms-And-Conditions-To-All-Airport-Agreements-REV.-9.2.25.pdf PDF

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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 .