Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx
DOCX document 20 KB Posted
- Attached to
- Title and Escrow Services
- Solicitation number
- RFP GGS-26-0190
- 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 in connection with aviation-related contract documents containing controlled security information under 49 C.F.R. Parts 15 and 1520. The form requires authorized representatives of bidding companies to acknowledge receipt of sensitive security documentation and agree to restrict disclosure to personnel with a documented need to know. Signatories must commit to destroying all provided documents upon the earlier of either completion of their review and use or the contract end date, in full compliance with applicable federal aviation security regulations.
The acknowledgement form serves as a compliance mechanism to ensure that sensitive security information related to aviation facilities and operations remains protected from unauthorized release, which could result in civil penalties or other enforcement action. The form requires completion of company name, authorized representative information, title, contact details, and address, along with the authorized representative's signature and date. This document is incorporated as an exhibit to the City of Phoenix's Title and Escrow Services solicitation for a five-year contract commencing on or about December 1, 2026, though the form itself appears to be a template applicable to various aviation-related procurements rather than specific to the title and escrow services contract.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
File details come from the government source that posted it. Updated .