Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Sodium Chlorite 25% Solution
- Solicitation number
- IFB-25-0745
- 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. The form is related to a solicitation for Sodium Chlorite 25% Solution, with a proposed five-year contract term beginning approximately September 1, 2025. The contract will be awarded by City Council and become effective upon signature and recording by the City Clerk's department. The solicitation is available through the City's OpenGov e-Procurement Portal, with technical support available via email or portal support bubble.
The acknowledgement form specifically addresses the handling of sensitive security information, requiring signatories to protect documents controlled under 49 C.F.R. Parts 15 and 1520. Unauthorized release of such information may result in civil penalties. The form mandates that companies destroy the referenced documents upon completion of their review or by the contract end date. Prospective contractors must complete the form, providing company details, authorized representative information, signature, and contact information to participate in the procurement process.
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 .