Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Hydraulic Lift, Transport Trailers, Facilities and Warehouse Utility Equipment
Solicitation number
27-FSD-010
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 connection with a sealed bid solicitation for Hydraulic Lift, Transport Trailers, Facilities and Warehouse Utility Equipment. The City of Phoenix is seeking sealed offers for a five-year contract commencing on or about December 1, 2026, with the effective date upon City Council award and signature and recording by the City Clerk's department, whichever is later. The solicitation is available through the City's Procurement Portal, and prospective bidders should contact the designated procurement officer for questions related to the solicitation or use the portal's support bubble for technical assistance.

The acknowledgement form requires authorized company representatives to certify their understanding that the bid documents contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and may only be disclosed to persons with a legitimate "need to know." Signatories agree to comply with all applicable federal regulations governing the handling, use, and destruction of sensitive security materials and commit to destroying the documents upon the earlier of their company's completion of review and use or no later than the current contract end date. Unauthorized release of this information may result in civil penalties or other enforcement action. The contract will terminate upon the earliest occurrence of reaching the end of the term including any extensions exercised or pursuant to the agreement's termination provisions.

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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

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