Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form prepared by the City of Phoenix Aviation Department for use in connection with a state and local contract opportunity. The form serves as a template requiring authorized representatives from bidding companies to acknowledge receipt of documents containing security-sensitive information controlled under 49 CFR Parts 15 and 1520. Signatories must certify that they understand the restrictions on disclosure and agree to destroy the specified documents upon the earlier of the company's completion of its need to review them or upon the contract end date. The form requires completion of placeholder fields identifying the specific document titles, project name, and contract end date, along with signature, printed name, title, phone number, and business address of the authorized company representative.

This acknowledgement form is directly related to the City of Phoenix's Invitation for Bid IFB-26-0123 for Alco-Sensor breath testing equipment, parts, and supplies for the Phoenix Police Department under a five-year contract commencing November 1, 2026. The form ensures compliance with federal regulations governing the handling of airport-related security information, as the contract is subject to the City of Phoenix Aviation Department's supplemental terms and conditions. All bidders participating in this procurement must complete and sign this acknowledgement form to demonstrate their understanding of confidentiality obligations and their commitment to proper handling and destruction of sensitive materials in accordance with federal security protocols.