Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Solicitation number
- RFQu-26-0018
- 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 documents related to a specific project. The form requires authorized representatives to acknowledge the sensitive nature of the documents, which are controlled 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. Signatories must provide their company name, authorized representative's details, contact information, and agree to handle the documents in compliance with federal regulations.
The related contract opportunity is a Request for Qualification (RFQu-26-0018) for Archaeology Consulting and Historic Preservation Services issued by the City of Phoenix. The five-year contract, set to commence around September 1, 2025, seeks multiple qualified contractors to provide archaeological and historic preservation services across five categories: General Archaeological Services, Recovery of Human Burials, General Historic Preservation Services, Emergency Cultural Resources Services, and Archaeological Assistance Positions. Contractors must meet the Secretary of the Interior's Professional Qualifications Standards and demonstrate local experience. The solicitation allows for reimbursement of certain outside costs without markup, with pricing to be firm and fixed for the initial contract year and potential annual adjustments thereafter. The City reserves the right to make multiple awards, and contractors must demonstrate cultural sensitivity and compliance with regulations like the Native American Graves Protection and Repatriation Act.
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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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