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 information under federal regulations. The form requires authorized representatives to acknowledge and agree to handle sensitive documents related to a contract opportunity with strict confidentiality, including a commitment to destroy the documents upon contract completion or by a specified end date.
The associated contract opportunity is for Concrete Flatwork Services (IFB 26-0078), a five-year procurement beginning approximately June 1, 2026, solicited by the City of Phoenix Finance Central Procurement Department. The contract covers comprehensive concrete installation and replacement services across the Phoenix Metro area, including sidewalks, ramps, walls, curbs, steps, and light pole bases. Key procurement details include a pre-offer conference on October 15, 2025, written inquiry deadline of October 29, 2025, and bid response deadline of November 12, 2025. The solicitation emphasizes Disadvantaged Business Enterprise (DBE) and Small Business participation, requiring contractors to submit initial and annual participation plans, track monthly DBE expenditures, and comply with federal aviation and transportation regulations. Concrete work will range from 2,500 to 6,000 PSI, with estimated annual quantities between 2 and 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
| ______ | ||
| TITLE | PHONE NUMBER |
ADDRESS CITY, STATE AND ZIP CODE
File details come from the government source that posted it. Updated .