Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Air-Fed Vertical Collating System
- Solicitation number
- IFB-27-0411
- 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, which establishes protocols for handling classified security documentation related to a procurement project. The form requires authorized representatives from bidding companies to acknowledge receipt and understanding of sensitive security information governed by 49 C.F.R. Parts 15 and 1520, specifically related to an air-fed vertical collating system contract. Signatories agree to limit document access to personnel with legitimate operational need and commit to destroying all provided materials upon completion of contract performance or by the contract end date, whichever occurs earlier. The City of Phoenix Aviation Department manages this requirement as part of the overall procurement process, which includes a five-year base contract term with five optional one-year renewal periods at the City's discretion.
The acknowledgement form serves as a mandatory compliance mechanism ensuring that all bidders and their personnel understand the confidential nature of security-sensitive materials and the legal obligations associated with their handling. Failure to comply with disclosure restrictions or document management protocols can result in civil penalties or other legal action under federal regulations. This form must be completed and signed by an authorized company representative before access to sensitive procurement documentation is granted, establishing a clear chain of accountability and ensuring that only qualified, vetted personnel from bidding organizations receive restricted information necessary to prepare competitive offers.
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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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