Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form from the City of Phoenix Aviation Department. The form is designed for use in connection with a project involving documents that contain Sensitive Security Information governed by 49 C.F.R. Parts 15 and 1520. Authorized representatives of companies receiving these documents must acknowledge their understanding that the information is restricted to individuals with a legitimate "need to know" and that unauthorized disclosure may result in civil penalties or other legal action. The form requires the signing company representative to commit to destroying all restricted documents upon the earlier of either the company's completion of its need to review and use the materials or by a specified contract end date, in accordance with applicable federal regulations governing airport security information.

The form serves as a compliance mechanism for the City of Phoenix Aviation Department to ensure that all recipients of sensitive security documentation maintain proper control and confidentiality of restricted materials. While the specific project details and contract end date are to be filled in at the time of execution, this acknowledgement form applies to any project involving the City of Phoenix that requires access to federally-controlled security information. The document requires the signature, printed name, title, phone number, and address of an authorized representative of the contracting company, creating an enforceable record of the company's commitment to protect sensitive information in accordance with federal transportation security regulations.