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 the Critical Incident Psychological Services solicitation. The form serves as a template for authorized representatives of bidding companies to acknowledge their understanding of and compliance with federal regulations governing the protection of sensitive security information controlled under 49 C.F.R. Parts 15 and 1520. The form requires signatories to confirm that they will limit disclosure of specified documents to individuals with a documented "need to know" and will destroy the documents upon the earlier of project completion or the contract end date. Unauthorized release of the controlled information may result in civil penalties or other enforcement actions, with different disclosure rules applicable to U.S. government agencies under 5 U.S.C. 552.

The acknowledgement form contains blank fields 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. Execution of this form is a mandatory requirement for all offerors participating in the City of Phoenix's Critical Incident Psychological Services procurement, which is a five-year contract commencing November 1, 2026, to provide 24/7 emergency psychological support and trauma-related mental health services to the Phoenix Police Department. All contract documents must be submitted through the City's Procurement Portal, and the sensitive security designation reflects the law enforcement and public safety nature of the services being procured.