Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Flow Meters and Level Meters Supplemental
- Solicitation number
- IFB-27-0472
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form associated with the City of Phoenix's Flow Meters and Level Meters Supplemental procurement opportunity in Arizona. The form is part of a sealed-bid solicitation for flow meters and level meters, with the contract term spanning five years beginning on the Commencement Date anticipated for January 1, 2026, or upon final signature and recording by the City Clerk's department, whichever is later. The solicitation is conducted through the City's Procurement Portal, and offerors may contact procurement-support@opengov.com for technical support or reach out to the listed procurement officer for solicitation-related inquiries. The agreement will terminate upon the earliest occurrence of reaching the end of the five-year term or upon termination pursuant to the agreement's provisions, with no options to extend beyond the initial term.
No specific pricing terms, set-asides, funding amounts, or other financial details are provided in this acknowledgement form. The document serves as a protective mechanism for handling sensitive security information related to the procurement process, requiring acknowledgement from participants regarding their responsibilities in safeguarding such information during the bid preparation and evaluation phases.
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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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