Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Bypass Spools and Tailpieces
- Solicitation number
- IFB-26-0112
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in connection with a contract opportunity involving bypass spools and tailpieces for water meter assemblies. The form serves as a template to ensure that recipients of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520 understand their obligations regarding restricted disclosure and proper handling. Authorized representatives from bidding companies must acknowledge receipt of documents containing such sensitive information and commit to destroying the materials upon completion of their review or by the contract end date, whichever occurs first. The acknowledgement is required to comply with federal regulations governing sensitive security information, with unauthorized release subject to civil penalties or other legal action.
The City of Phoenix is soliciting sealed offers for stainless steel bypass spools, stainless steel tailpieces, and various ductile iron flanged fittings to be used in the construction and installation of large water meter assemblies and associated bypass systems on an as-needed basis. This is a five-year contract with an effective date on or about January 1, 2026, contingent upon City Council award and recording by the City Clerk's department as required by Phoenix City Code. Prospective offerors must access this solicitation through the City's Procurement Portal, with technical support available through the portal's support feature or at procurement-support@opengov.com. The contract will terminate upon reaching the end of its term, including any exercised extensions, or upon termination pursuant to the agreement's specific provisions.
View the file
Other files
Show all 27
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .