Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form prepared by the City of Phoenix Aviation Department for a state and local contract opportunity. The form is a template document designed to govern the handling of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520 for use in contract-related projects. The form requires authorized representatives of bidding companies to acknowledge that they understand the restrictions on disclosing sensitive security information only to persons with a demonstrated "need to know" as defined in federal regulations. The acknowledgement form establishes that unauthorized release of such information may result in civil penalties or other legal action. Signatories agree to destroy all designated documents upon the earlier of either their company's completion of its need to review and use the documents or the contract end date specified by the City.

The form itself contains blank spaces for completion with specific document titles, project names, contract end dates, and authorized representative information including printed name, signature, title, phone number, and company address. This acknowledgement is a mandatory compliance requirement for all contractors and subcontractors involved in the PVC/CPVC pipe, valves, and fittings contract (IFB-26-0271) with the City of Phoenix Water Services Department, with background screening requirements standard risk level screening mandated for workers requiring facility access or handling sensitive information. The form serves as documentation of contractor understanding and acceptance of federal security information regulations applicable to the contract term commencing June 1, 2026.