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 state and local contract opportunity. The form requires authorized representatives from bidding companies to acknowledge receipt of documents containing Sensitive Security Information controlled under 49 C.F.R. Parts 15 and 1520 and to certify their understanding that unauthorized disclosure of such information may result in civil penalties or other legal action. Signatories must agree to destroy the specified documents upon the earlier of the company's completion of its need to review and use the materials or by a designated contract end date, in compliance with applicable federal regulations governing aviation security information.

The acknowledgement form serves as a protective mechanism for sensitive aviation-related security documentation and requires completion by an authorized company representative with printed name, signature, title, phone number, and full address. This form is typically required as part of the City of Phoenix Aviation Department's procurement process to ensure that all parties handling restricted security information understand their legal obligations and responsibilities regarding information control and destruction. The form is presented as an exhibit to be incorporated into contract documentation and must be executed prior to access to or review of the sensitive materials.