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 conjunction with a procurement project. The form establishes that specific project documents contain Sensitive Security Information governed by 49 C.F.R. Parts 15 and 1520 and may only be disclosed to individuals with a demonstrated "need to know." The acknowledgement requires authorized company representatives to sign and date the form, certifying their understanding of confidentiality obligations and commitment to comply with federal security regulations. Signatories agree to destroy the documents upon the earlier of project completion or the contract end date specified in the final agreement.

The form serves as a critical compliance mechanism for the City of Phoenix Group Term Life, AD&D, and Optional Life Insurance Plans procurement (RFP PS-26-0032), which requires vendors to access sensitive census data and employee information as part of the proposal and contract execution process. Unauthorized disclosure of the restricted information may result in civil penalties or other enforcement actions under federal law. All bidders and contractors must complete and execute this acknowledgement form prior to receiving access to protected procurement documents, ensuring that vendor participation remains subject to strict confidentiality and data protection requirements aligned with HIPAA, HITECH Act, and federal transportation security regulations.