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 state and local contract opportunity. The form serves as a template requiring authorized representatives from contracting companies to acknowledge receipt and understanding of documents containing sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. Signatories must confirm their company's obligation to limit disclosure to individuals with a legitimate "need to know" and to destroy the specified documents upon the earlier of project completion or the contract end date. The form requires completion of placeholder fields including document titles, project name, and contract termination date, along with signature blocks for the authorized representative's name, title, phone number, and company address.

The acknowledgement form establishes compliance requirements for handling Transportation Security Administration-regulated sensitive security information and serves as a protective mechanism for the City of Phoenix Aviation Department. By requiring signed acknowledgements, the form creates a documented record that contractors understand the civil penalties and legal consequences associated with unauthorized disclosure under federal regulations. This standard administrative document is required as a condition of contract performance whenever documents containing sensitive security information are provided to bidders or contractors involved in City of Phoenix procurements, ensuring all parties recognize their obligations to maintain confidentiality and properly dispose of controlled materials.