Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Chlorine and PH Analyzers
- Solicitation number
- IFB-26-0142
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
The document is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department, which requires signatories to maintain confidentiality of sensitive documents related to a specific project. The form pertains to a City of Phoenix procurement opportunity for chlorine and PH analyzers, with a proposed five-year contract term commencing on or about January 21, 2026. The solicitation will be conducted through the City's Procurement Portal, with potential vendors required to adhere to strict confidentiality protocols under 49 C.F.R. Parts 15 and 1520 regarding sensitive security information.
The contract requires authorized representatives to acknowledge and agree to handle sensitive documents with strict confidentiality, including destroying the documents upon completion of their review or by the contract's end date. Technical support for the procurement process is available through the City's Procurement Portal, with vendors able to contact support via an on-site support bubble or email. The contract will terminate upon reaching the end of its term, including any potential extensions, or through specific termination provisions outlined in the agreement. Interested vendors must carefully review and comply with the confidentiality requirements and procurement guidelines specified in the document.
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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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