Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Hydraulic Coupling Equipment Service
- Solicitation number
- IFB-25-0757
- 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, associated with a hydraulic coupling equipment service contract for the City of Phoenix Water Services Department. The solicitation (IFB-25-0757) seeks a five-year contract to service 32 backhoes with Oil Quick Hydraulic Coupling Systems, enabling more efficient equipment connection and disconnection. The contract is set to commence on or about August 1, 2025, with a pre-offer conference scheduled for May 12, 2025, at 10:00am via Webex. Written inquiries are due by May 15, 2025, at 2:00pm, and the final offer response deadline is May 22, 2025, at 2:00pm.
The procurement focuses on authorized repair providers of Oil Quick Systems in the greater Phoenix, Arizona area, with responsibilities including job quote generation, repair services, and warranty coverage. Evaluation criteria will encompass technical capability, manpower availability, safety record, and complaint history. The City reserves the right to purchase up to 100 percent of specified quantities. While no specific budget is detailed, the contract will cover pricing for hydraulic coupling system components including automatic couplers, plate components, frames, sensors, cables, and valves, with associated installation services. The solicitation appears to follow typical municipal contract guidelines, potentially including Disadvantaged Business Enterprise (DBE) considerations and equal employment opportunity regulations.
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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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