Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department that governs the handling of security-controlled documents related to a contract project. The form requires authorized representatives from bidding companies to acknowledge receipt of documents containing Sensitive Security Information regulated under 49 C.F.R. Parts 15 and 1520, which restricts disclosure to individuals with a demonstrated "need to know." The acknowledgement obligates signatories to destroy all received documents upon the earlier of the company's completion of its review and use of the materials or by the contract end date specified in the form. Authorized company representatives must provide their printed name, signature, title, phone number, and complete mailing address to execute the acknowledgement.

The form serves as a protective mechanism for security-sensitive procurement materials related to the City of Phoenix HVAC Filter Maintenance and Repair solicitation, which involves facility upgrades and maintenance services across approximately 120 municipal locations. Unauthorized disclosure of the controlled information may result in civil penalties or other legal action under federal aviation security regulations. The form requires completion of blank fields to identify specific document titles, the project name, and the contract end date before execution. All signatories agree to comply with federal security protocols and acknowledge the legal consequences of non-compliance with information handling requirements.