Sensitive_Security_Information_Acknowledgement_Form.docx

DOCX document 20 KB Posted

Attached to
Purchase of Motorcycles
Solicitation number
26-FSD-031
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. The form is associated with a City of Phoenix solicitation for the purchase of motorcycles, with a contract term of three years and two potential option years, anticipated to commence on or about February 1, 2026. The procurement will be conducted through the City's Procurement Portal, with technical support available via email or an online support bubble. The solicitation allows for sealed offers and is conditioned upon award by the City Council and subsequent recording by the City Clerk's department.

The acknowledgement form specifically requires vendors to recognize the sensitive nature of certain documents, which contain information controlled under federal regulations (49 C.F.R. Parts 15 and 1520). Vendors must agree to handle and ultimately destroy these documents in compliance with specified guidelines, with destruction required upon completion of document review or by the contract end date. The form mandates that only persons with a requisite "need to know" can access the sensitive documents, with potential civil penalties for unauthorized disclosure. Vendors must complete the form by providing company details, authorized representative information, signature, and contact information.

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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

______
TITLEPHONE NUMBER

ADDRESS CITY, STATE AND ZIP CODE

File details come from the government source that posted it. Updated .