Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department related to a powdered activated carbon procurement contract. The City of Phoenix is soliciting sealed offers for powdered activated carbon under a five-year contract with an anticipated commencement date of April 1, 2026. The contract will become effective upon award by City Council, subject to signature and recording by the City Clerk's department as required by Phoenix City Code, or on the later of these two events. This solicitation is administered through the City's Procurement Portal, with technical support available via the portal's support feature or by contacting procurement-support@opengov.com. The agreement will terminate upon the earliest of the following: expiration of the initial term including any exercised extensions, or termination pursuant to the contract's provisions.

The Sensitive Security Information Acknowledgement Form establishes that any documents provided to bidders contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and may only be disclosed to individuals with a requisite "need to know" as defined in those regulations. Signatories acknowledge that unauthorized release of this information may result in civil penalties or other legal action, and agree to destroy the documents in compliance with applicable federal regulations upon the earlier of the company's completion of its need to review and use the documents or the current contract end date. All authorized representatives of bidding companies must sign and provide their printed name, title, phone number, and complete address on the form.