Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in connection with a repair and replacement of meter vaults contract. The form establishes protocols for handling documents that contain Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520. The five-year meter vault contract is scheduled to commence on or about April 23, 2026, contingent upon City Council award and signature and recording by the City Clerk's department as required by Phoenix City Code. The solicitation is available through the City's Procurement Portal, with technical support accessible via the portal support feature or by contacting procurement-support@opengov.com. The contract will terminate upon the earliest occurrence of reaching the end of the term including any exercised extensions or upon termination pursuant to agreement provisions.

Authorized company representatives must acknowledge receipt of the Sensitive Security Information documents and agree to comply with federal security information regulations. Signatories commit to destroying the documents upon the earlier of the company's completion of its need to review and use the materials or by the contract end date, in accordance with applicable federal regulations. Unauthorized disclosure of the sensitive security information may result in civil penalties or other legal action, with public disclosure by U.S. government agencies governed by 5 U.S.C. 552 and the aforementioned federal regulations. The acknowledgement form requires completion of company name, authorized representative name and signature, title, phone number, and address prior to execution.