Sensitive_Security_Information_Acknowledgement_Form.pdf

PDF 79 KB Posted

Attached to
Automatic Transfer Switch Testing, Maintenance, and Repair Services
Solicitation number
AVN IFB-26-0125
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use with automatic transfer switch (ATS) testing, maintenance, and repair services solicitation. The form is required for sealed offers relating to ATS services across multiple municipal departments, with a contract term commencing on or about June 1, 2026, for three years with two optional one-year extensions. A pre-offer conference is scheduled for January 13, 2026, at 10:00 am (non-mandatory), with written inquiries due by January 19, 2026, at 3:00 pm, and sealed offers due on March 12, 2026, at 3:00 pm. The solicitation encompasses maintenance and repair services for over 130 ATS units deployed across Fire Department stations, Information Technology sites, Library facilities, Parks and Recreation sites, Police Department precincts, Public Works facilities, and Street and Transportation Department locations, with units ranging from 7 kW to 1,250 kW.

The acknowledgement form mandates that all recipients understand the documents contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which may only be disclosed to persons with requisite "need to know." Contractors must sign and authorize the form on behalf of their company, agreeing to destroy all sensitive documents upon completion of their need to review and use the materials or no later than the contract end date. Minimum qualifications include three years of operational experience in ATS installation, inspection, testing, troubleshooting, and repair, plus a current C-11 Electrical license from the Arizona Registrar of Contractors. The contract requires 24-hour emergency response capability with strict response time requirements. Additionally, contractors must comply with Disadvantaged Business Enterprise (DBE) and Small Business Participation Plan requirements, demonstrating good faith efforts to engage DBE-certified and small business suppliers with monthly documentation required in the City's Certification and Compliance System. The City reserves the right to award multiple contracts and allows offerors to bid on either the Aviation Department (Group 1) or Public Works Department (Group 2) segments.

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Text version

ATTACHMENT E

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

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