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 conjunction with a roofing analysis and consulting services contract. The form addresses the protection of Sensitive Security Information (SSI) controlled under 49 C.F.R. Parts 15 and 1520. The related state and local contract opportunity is for roofing analysis and consulting services to be provided to the City of Phoenix Public Works Department under a five-year term commencing on or about January 1, 2027. The contract will be awarded by City Council and becomes effective upon signature and recording by the City Clerk's department, in compliance with Phoenix City Code requirements. The solicitation is managed through the City's Procurement Portal, with procurement support available through the portal's support function or via email at procurement-support@opengov.com. The agreement will terminate upon the earliest occurrence of contract end date, including any exercised extensions, or upon termination per the agreement's provisions.

All authorized company representatives must acknowledge the receipt and restricted use of documents containing Sensitive Security Information, agreeing to limit disclosure only to personnel with legitimate need-to-know as defined in applicable federal regulations. Unauthorized release of SSI may result in civil penalties or other legal action. Signatory representatives must commit to destroying all SSI documents upon the earlier of their company's completion of review and use or by the contract end date, in strict compliance with federal regulations. The form requires completion of blanks for document titles, project name, contract end date, company information, authorized representative details, and signature.