Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Fire Life and Safety Systems Inspections, Testing and Repair
Solicitation number
IFB-27-0419
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 Fire Life and Safety Systems Inspections, Testing and Repair solicitation in Arizona. The form serves as a document that bidders and participants must acknowledge upon receipt of sensitive security information pertaining to the contract opportunity. The solicitation seeks contractors to provide comprehensive fire life and safety systems inspections, testing, and repair services for the City of Phoenix. The contract term is five years commencing on January 1, 2027, with no renewal or extension options available. Offerors must submit sealed offers through the City's Procurement Portal, with technical support available through the portal's support feature or by contacting procurement-support@opengov.com.

The acknowledgement form requires recipients to confirm they have received and understand the confidential and sensitive security nature of certain contract documentation. This form is a standard administrative requirement designed to protect sensitive information and ensure that only authorized parties access proprietary or security-related details contained within the solicitation materials. No specific pricing terms, set-asides, incumbent information, or funding amounts are detailed within this particular acknowledgement form, as its primary function is to document receipt and understanding of security protocols rather than substantive contract terms.

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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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