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 in connection with automatic transfer switch testing, maintenance, and repair services across multiple municipal departments. The solicitation covers over 130 ATS units deployed across Fire Department stations, Information Technology Department sites, Library facilities, Parks and Recreation sites, Police Department precincts, Public Works facilities, and Street and Transportation Department locations. The contract is structured as a three-year term commencing on or about June 1, 2026, 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. Contractors must possess a minimum of three years of operational experience in ATS installation, inspection, testing, troubleshooting, and repair, along with a current C-11 Electrical license from the Arizona Registrar of Contractors.

The form itself requires authorized company representatives to acknowledge receipt of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520, which are only to be disclosed to persons with requisite "need to know" status. Signatories must agree to destroy the specified documents upon the earlier of the company's completion of its need to review and use the documents or no later than the contract end date. Unauthorized release of this information may result in civil penalty or other action. The solicitation includes mandatory Disadvantaged Business Enterprise (DBE) and Small Business Participation Plan requirements, with contractors required to demonstrate good faith efforts in engaging DBE-certified and small business suppliers, track participation through monthly documentation in the City's Certification and Compliance System, and provide annual expenditure summaries. The City reserves the right to award multiple contracts and permits offerors to bid on either the Aviation Department (Group 1) or Public Works Department (Group 2) segments. The contract requires 24-hour emergency response capability with specific response time standards for both emergency and non-emergency situations.

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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 .