Sensitive Security Information Acknowledgement Form

This is a template acknowledgement form issued by the City of Phoenix Aviation Department for use in connection with a state and local contract opportunity. The form establishes protocols for handling documents containing Sensitive Security Information (SSI) controlled under 49 C.F.R. Parts 15 and 1520. The form requires authorized representatives of bidding companies to acknowledge receipt of SSI-designated documents, affirm understanding of disclosure restrictions limited to personnel with demonstrated "need to know," and commit to document destruction upon contract completion or by a specified contract end date. The acknowledgement binds both the individual signatory and their company to compliance with federal regulations governing SSI protection, with unauthorized disclosure subject to civil penalties or other legal action.

The form functions as a protective mechanism for aviation security-sensitive materials and must be completed with specific details including document titles, project names, company information, authorized representative credentials, and contract termination dates. Signatories certify their company's understanding that public disclosure of SSI is governed by 5 U.S.C. 552 and applicable federal aviation security regulations. This acknowledgement form is typically required as an exhibit to solicitation documents when contract performance involves access to airport or aviation facility security information, ensuring that all parties understand their legal obligations regarding sensitive information management throughout the contract term and beyond.