Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Concrete Flatwork Services
Solicitation number
IFB 26-0078
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 government contracts. The form requires authorized representatives to acknowledge the sensitive nature of specific documents controlled under 49 C.F.R. Parts 15 and 1520, with strict guidelines for handling, reviewing, and ultimately destroying such information. Signatories must commit to protecting the documents and agree to destroy them upon completion of their review or by the contract's end date.

The associated state and local contract opportunity is an Invitation for Bid (IFB 26-0078) for Concrete Flatwork Services issued by the City of Phoenix Finance Central Procurement Department. The five-year contract, set to commence around June 1, 2026, seeks comprehensive concrete installation and replacement services across the Phoenix Metro area. The procurement emphasizes Disadvantaged Business Enterprise (DBE) and Small Business participation, requiring contractors to demonstrate engagement with certified DBE firms through monthly documentation and annual participation plans. Contractors must provide detailed unit costs covering licenses, traffic control, administration, materials, and equipment, with estimated annual quantities ranging from 2 to 10,000 units depending on specific services.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .