Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Envelopes
- Solicitation number
- IFB-26-0336
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form associated with the City of Phoenix's sealed solicitation for Envelopes. The procurement opportunity involves a five-year agreement with a commencement date of November 1, 2026, or upon the Effective Date, whichever is later. The contract will have no option years and will terminate upon the earliest occurrence of reaching the end of the five-year term or pursuant to termination provisions outlined in the Agreement. Interested offerors must submit sealed offers through the City's Procurement Portal, with technical support available through the portal's support bubble or via email at procurement-support@opengov.com. For solicitation-related inquiries, offerors should contact the designated procurement officer.
The file itself is a security acknowledgement form, indicating that respondents to this solicitation must acknowledge receipt and understanding of sensitive security information related to the envelope procurement. No additional pricing terms, set-asides, incumbent information, or specific funding details are provided in this particular document. The form serves as a compliance and acknowledgement mechanism rather than containing substantive procurement parameters.
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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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