Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- RIGGING EQUIPMENT AND CERTIFICATION SERVICES
- Solicitation number
- IFB-25-0728
- 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 information governed by federal regulations (49 C.F.R. Parts 15 and 1520). The related state and local contract opportunity involves the City of Phoenix Water Services Department's Invitation for Bid #IFB-25-0728 for Rigging Equipment and Certification Services. The procurement seeks a contractor to perform annual inspections, certifications, and training for rigging equipment across multiple water facilities, with a five-year contract expected to commence around August 1, 2025. Key procurement dates include a pre-offer conference on May 2, 2025, a written inquiry deadline on May 9, 2025, and a proposal due date of May 23, 2025 at 2:00 pm.
The contract requires substantial insurance coverage, including $2,000,000 in commercial general liability, $1,000,000 in automobile liability, and workers' compensation insurance. Contractors must have at least five years of business experience, demonstrate technical capability, and comply with background screening requirements. While specific budget ranges are not detailed, the contract includes pricing structures for training during different shifts and annual rates for equipment inspection and certification. The City reserves the right to modify contract quantities and will select the most responsive and responsible offeror. Technical support is available through the City's OpenGov e-Procurement Portal, with assistance accessible via an online support bubble or email at procurement-support@opengov.com.
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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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