Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- RIGGING EQUIPMENT AND CERTIFICATION SERVICES
- Solicitation number
- IFB-25-0728
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department, designed to protect confidential information under federal regulations. The form relates to a rigging equipment and certification services contract for the City of Phoenix, with a proposed five-year term commencing on or about August 1, 2025. The solicitation will be conducted through the City's OpenGov e-Procurement Portal, with technical support available via email or an online support bubble. The contract will terminate upon reaching the end of its term or through other specified termination provisions.
The acknowledgement form requires authorized company representatives to recognize the sensitive nature of the documents, commit to protecting the information according to 49 C.F.R. Parts 15 and 1520, and agree to destroy the documents upon completion of their review or by the contract end date. Potential bidders must carefully handle the confidential information, understanding that unauthorized release could result in civil penalties. The solicitation is specific to Arizona and managed by the City of Phoenix, with the exact procurement details to be accessed through the designated e-Procurement Portal.
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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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