Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in connection with aviation-related procurement documents. The form requires authorized representatives of bidding companies to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520, which restrict disclosure to personnel with a legitimate need to know. The acknowledgement obligates the signatory company to destroy all provided documents upon completion of their review or by the contract end date, whichever is earlier. The form includes signature blocks for the company's authorized representative, with fields for printed name, title, phone number, and complete address.

The form serves as a compliance mechanism for federal aviation security regulations and must be executed by any bidder or stakeholder receiving restricted security documentation related to Phoenix Aviation Department projects. Unauthorized disclosure of the sensitive information contained in the associated documents may result in civil penalties or other federal enforcement actions. The specific documents and project name are to be filled in by the Aviation Department on a case-by-case basis as different solicitations are issued.