Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Performance Entertainment Coordination Services
- Solicitation number
- RFQu-24-0427
- 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 (49 C.F.R. Parts 15 and 1520). The form requires authorized representatives to acknowledge the sensitive nature of specific documents, agree to use them only with a "need to know", and commit to destroying the documents upon completion of their review or by the contract end date.
The related contract opportunity is a Request for Qualifications (RFQu-24-0427) issued by the City of Phoenix Parks and Recreation Department for Performance Entertainment Coordination Services. The solicitation aims to establish a Qualified Vendors List (QVL) for event entertainment coordination, with a five-year contract term beginning January 1, 2026. Qualified vendors must have minimum experience of five events in three years, with key personnel having at least two years of event coordination experience. The opportunity emphasizes Disadvantaged Business Enterprise (DBE) and Small Business participation, requires commercial general liability coverage of $2 million aggregate and $1 million per occurrence, and was released on October 17, 2025, with responses due by November 13, 2025. Contractors will be evaluated on qualifications, experience, and ability to meet comprehensive event coordination needs, with the City reserving the right to award multiple contracts.
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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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