Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Residential Energy Audit
- Solicitation number
- NSD-RFQu-26-006
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This file is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department, which serves as a template for controlling access to classified security documentation related to aviation infrastructure projects. The form establishes the legal framework for handling sensitive security information governed by 49 C.F.R. Parts 15 and 1520, requiring authorized representatives from bidding companies to acknowledge their understanding of disclosure restrictions and commit to document destruction protocols. The form includes blank fields for insertion of specific document titles, project names, and contract end dates, and requires signature and contact information from an authorized company representative, including name, title, phone number, and business address. Signatories agree that documents may only be disclosed to individuals with established "need to know" access and must be destroyed upon either the completion of the company's business use or the stated contract end date, whichever occurs earlier.
The related Residential Energy Audit contract opportunity from the City of Phoenix Neighborhood Services Department invites sealed proposals for residential energy audit consulting services with an effective date of December 1, 2026, or upon final City Clerk signature and recording. The contract term is five years with no extension options, and the solicitation is conducted through the City's Procurement Portal. While the acknowledgement form template does not pertain directly to the energy audit opportunity, it indicates that sensitive security information protocols may apply to certain City of Phoenix procurements. Interested offerors should contact the procurement officer listed in the solicitation for questions regarding the residential energy audit opportunity or use the portal's support function for technical assistance.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
File details come from the government source that posted it. Updated .