Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Lower-Level Displays
- Solicitation number
- IFB-PCC-26-0084
- 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 control the disclosure of sensitive documents related to a specific project. The form requires authorized representatives to acknowledge the sensitive nature of the documents, agree to protect them under 49 C.F.R. Parts 15 and 1520, and commit to destroying the documents upon completion of their review or by the contract end date.
The associated state and local contract opportunity involves replacing digital signage monitors at the Phoenix Convention Center's Lower Level with new LED displays. The project requires furnishing and installing two 8.5 ft x 15 ft LED video wall displays and three 5 ft x 8 ft LED advertisement displays, with a 1.9mm pixel pitch and compatibility with the existing 22Miles signage system. The contract is a five-year term beginning around January 1, 2026, with a pre-offer conference scheduled for September 25, 2025, and bid responses due on October 15, 2025. The procurement emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to track and report DBE involvement and submit a Small Business Participation Plan within 30 days of contract award.
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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
File details come from the government source that posted it. Updated .