Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Asphalt and Striping Services State and local contract opportunity
- Solicitation number
- IFB 26-FMD-030
- 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 documentation associated with a government project. This form requires authorized representatives to recognize and comply with federal regulations (49 C.F.R. Parts 15 and 1520) regarding the handling of sensitive security information, mandating that recipients only access documents with a legitimate "need to know" and destroy them upon completing their review or by the contract's end date.
The associated contract opportunity is an Invitation for Bid (IFB 26-FMD-030) for Asphalt and Striping Services issued by the City of Phoenix Public Works Department. The contract will run for two years beginning February 1, 2026, with options for three additional one-year extensions. Contractors must demonstrate at least five years of experience in asphalt and striping work, provide quotes within ten calendar days, and commence work within fifteen calendar days of assignment. The solicitation includes robust Disadvantaged Business Enterprise (DBE) and Small Business Participation requirements, with comprehensive insurance coverage of $5,000,000 in Commercial General Liability and Automobile Liability. Key performance expectations include maintaining site supervision and providing all necessary labor, materials, and equipment for infrastructure maintenance services across Phoenix municipal areas.
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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 .