Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Hydraulic Coupling Equipment Service
- Solicitation number
- IFB-25-0757
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department. This form is related to a hydraulic coupling equipment service contract for a five-year term expected to commence on or about August 1, 2025. The solicitation will be processed through the City's OpenGov e-Procurement Portal, with the contract becoming effective upon City Council award and recording by the City Clerk's department. The contract includes provisions for potential termination upon reaching the end of its term or through other specified agreement provisions.
The acknowledgement form specifically addresses the handling of sensitive security information controlled under federal regulations (49 C.F.R. Parts 15 and 1520), requiring authorized representatives to protect and ultimately destroy documents with restricted access. Bidders must understand and comply with disclosure limitations, with unauthorized release potentially resulting in civil penalties. Technical support for the procurement process is available through OpenGov's support channels, and interested parties are directed to contact the designated procurement officer for additional information about the solicitation.
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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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