Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Lower-Level Displays
- Solicitation number
- IFB-PCC-26-0084
- 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 related to a contract opportunity. The form requires authorized representatives to acknowledge the sensitive nature of documents, agreeing to handle and destroy them in compliance with federal regulations (49 C.F.R. Parts 15 and 1520). The related contract opportunity involves replacing digital signage monitors at the Phoenix Convention Center's Lower Level with new LED displays, specifically two 8.5 ft x 15 ft LED video wall displays and three 5 ft x 8 ft LED advertisement displays with a 1.9mm pixel pitch. The project is scheduled for a pre-offer conference and site visit on September 25, 2025, with written inquiries due by October 1, 2025, and offer responses due on October 15, 2025, at 10:00 am. The contract term will span five years, beginning approximately January 1, 2026.
The procurement emphasizes Disadvantaged Business Enterprise (DBE) and small business participation, requiring contractors to track and report DBE involvement and submit a Small Business Participation Plan within 30 calendar days after contract award. Contractors must demonstrate good faith efforts to promote DBE-certified supplier participation, maintain contact logs, and document monthly expenditures in the City's Certification and Compliance System. While specific budget ranges are not explicitly stated, the project requires compliance with federal regulations under 49 CFR Part 26 and includes provisions for economic nondiscrimination and civil rights requirements. The City reserves the right to purchase up to 100 percent of the specified quantities, with payment terms set at 0% net 45 days, indicating a comprehensive approach to digital infrastructure upgrade at the Convention Center.
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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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