Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Unemployment Cost Management Services
- Solicitation number
- RFP PS-26-0009
- 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. This form is associated with a Request for Proposal (RFP) PS-26-0009 for Unemployment Cost Management Services, seeking a five-year contract commencing on or about March 1, 2026. The solicitation requires a comprehensive contractor to manage unemployment claims, with key milestones including a non-mandatory pre-offer conference on August 28, 2025, written inquiries due by September 16, 2025, and a final proposal response deadline of October 3, 2025, at 2:00 pm.
The procurement includes specific Disadvantaged Business Enterprise (DBE) and Small Business Participation requirements mandated by the United States Department of Transportation. Vendors must track and report DBE and small business participation monthly and submit an annual Small Business Participation Plan. The evaluation will be across 64 specific areas with a total possible score of 1,000 points, with 250 points (25%) allocated to the lowest cost. Qualified vendors must have a minimum of five years of experience in unemployment cost management services. Contractors are also required to complete Federal Transit Administration (FTA) certifications covering areas such as tax liability, debarment, lobbying, and Buy America compliance. The City reserves the right to reject all proposals and potentially pursue a multiple award scenario.
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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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