Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Hydraulic Hose Repair and Replacement
- Solicitation number
- IFB 27-FSD-0353
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form related to the City of Phoenix's hydraulic hose repair and replacement services contract opportunity in Arizona. The form serves as a mandatory acknowledgement document for bidders and personnel involved in the procurement process, establishing that they have received notice of and understand the confidential nature of sensitive security information that may be disclosed during the bidding process. The acknowledgement form requires authorized representatives and bidders to confirm receipt of information regarding the protection and handling of security-sensitive materials related to the hydraulic hose repair and replacement procurement scheduled to begin on or about December 1, 2026.
The form establishes compliance requirements for all parties accessing sensitive information in connection with the City of Phoenix's sealed offer process for hydraulic hose repair and replacement services. By executing the acknowledgement, bidders and personnel agree to maintain confidentiality of any proprietary, security-related, or sensitive information disclosed during the procurement process and acknowledge their understanding of relevant security protocols and restrictions governing the use and dissemination of such information.
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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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