Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Traffic Signal Controller Cabinets
- Solicitation number
- IFB-26-0038
- 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 documentation related to government contracts. The form requires authorized representatives to acknowledge the sensitive nature of certain documents controlled under 49 C.F.R. Parts 15 and 1520, with strict guidelines for handling and eventual destruction of materials. The form is specifically associated with a Traffic Signal Controller Cabinets procurement, which is an Invitation for Bid (IFB-26-0038) seeking sealed offers for two types of traffic signal control cabinets: NEMA TS2 Type 1 and Advanced Transportation Controller (ATC) Cabinets.
The procurement is structured as a five-year contract anticipated to commence around March 1, 2025, with an expected annual purchase of approximately 100 cabinets. Key procurement dates include a pre-offer conference on October 17, 2025, written inquiries due by October 24, 2025, and proposal submissions due November 7, 2025 at 2:00 pm. The contract includes provisions for warranty coverage spanning five years, with pricing to remain firm for the first two years and potential annual adjustments thereafter. Pricing will be structured on a per-unit basis, requiring comprehensive line-item pricing for cabinets and associated equipment. Vendors must comply with NEMA TS2, ATC 5301, and industry regulations, and be registered in the City's Procurement Portal, with technical support available through the OpenGov e-Procurement Portal.
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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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