Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Asphalt and Striping Services
- Solicitation number
- IFB 26-FMD-030
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The provided document is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department. The form is related to a state and local contract opportunity for Asphalt and Striping Services in Arizona, with a proposed two-year term and three potential one-year extension options. The contract is expected to commence on or about February 1, 2026, and will be awarded by the City Council, contingent upon signature and recording by the City Clerk's department.
The solicitation is available through the City's Procurement Portal, with technical support provided via an support bubble or email. The contract will terminate upon reaching the end of its term, including any exercised extensions, or through other termination provisions outlined in the agreement. Potential bidders are required to acknowledge the sensitive nature of the documents and agree to destroy them in compliance with federal regulations, with specific guidelines for handling and managing sensitive security information.
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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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