Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Traffic Signal Controller Cabinets
- Solicitation number
- IFB-26-0038
- 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, related to a Traffic Signal Controller Cabinets procurement opportunity. The City of Phoenix is soliciting sealed offers for traffic signal cabinets through a five-year contract expected to commence on or about March 1, 2025. The solicitation will be available through the City's Procurement Portal, with technical support provided via OpenGov e-Procurement Portal. The contract will terminate upon reaching the end of its term, including any potential extensions, or through other termination provisions outlined in the agreement.
The acknowledgement form emphasizes strict handling of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520, requiring signatories to confirm they understand the confidentiality requirements and agree to destroy documents in compliance with federal regulations. While specific pricing, set-asides, or funding details are not provided in this document, the form indicates a formal procurement process with significant security protocols for document management and information disclosure.
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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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