Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Airport Technology Consulting Services
- Solicitation number
- RFQu 26-0072 - Airport Technology Consulting Services
- 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 Airport Technology Consulting Services contract opportunity in Arizona. The form serves as a mandatory acknowledgement document for offerors and contractors who will have access to sensitive security information during the solicitation and contract performance phases. The contract itself is structured as a five-year initial term commencing on or about April 1, 2027, with two optional one-year extensions available at the sole discretion of the Aviation Director. Sealed offers are being solicited through the City's Procurement Portal, with technical support available through the portal's support feature or via procurement-support@opengov.com. The agreement becomes effective upon final signature and recording by the City Clerk's department and will terminate upon the earliest of contract term expiration, exercise of extensions, or termination pursuant to agreement provisions.
The Sensitive Security Information Acknowledgement Form requires all participating offerors and contractors to formally acknowledge their understanding of and commitment to protecting sensitive security information related to Phoenix Sky Harbor International Airport operations. This acknowledgement is a prerequisite for participation in the procurement process and contract execution, ensuring that all parties understand their obligations regarding the handling, protection, and non-disclosure of airport security-related information. The form establishes a binding commitment that extends throughout the solicitation period and the entire contract performance term, including any exercised extension periods.
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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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