Attach_5_PCL Template.docx
DOCX document 44 KB Posted
- Solicitation number
- HM047626Q0018
About this file
This is a Personnel Security Clearance Information template used for source selection purposes. The document serves as a standardized format for collecting and presenting security clearance data on key personnel proposed for a federal contract. It contains personally identifiable information marked as UNCLASSIFIED//FOUO and includes fields for recording individual names, dates of birth, places of birth, Social Security numbers, investigation types, clearance close dates, SCI eligibility dates, and government sponsors. The template demonstrates the type of clearance documentation that contractors must provide when responding to the NGA Solicitation for Behavioral Support Science Services (Solicitation Number HM047626Q0018), which seeks non-personal services to support the National Geospatial Intelligence Agency's Security and Installation Directorate Counter Insider Threat Office and its Behavioral Science Team. Personnel security clearances are a critical requirement for work involving sensitive government functions, particularly in security and counterintelligence roles.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach_8_BSSS_Sections _4_5_Amend0003.pdf | ||
| HM047626Q0018_AMEND_0003.pdf | ||
| HM047626Q0018_Amend0002.pdf | ||
| Attach_10_Questions_Answers_Amend0002.pdf | ||
| Attach_8_BSSS_Sections _4_5_Amend0002.pdf | ||
| HM047626Q0018_Amend0001.pdf | ||
| Attach_10_Questions_Answers.pdf | ||
| Solicitation_HM047626Q0018.pdf | ||
| Attach_1_BSSS_SOW.docx | DOCX document | |
| Attach_5_PCL Template.docx | DOCX document | |
| Attach_2_BSSS_Resume_Format.docx | DOCX document | |
| Attach_3_BSSS_SF328-18b.pdf | ||
| Attach_7_BSSS_Solicitation_DD254_BSSS.pdf | ||
| HM047626Q0018.pdf | ||
| Attach_1_BSSS_SOW.docx | DOCX document | |
| Attach_4_FCL_Template.docx | DOCX document | |
| Attach_6_BSSS_Price_Proposal Workbook.xlsx | XLSX spreadsheet | |
| Attach_8_BSSS_Sections _4_and_5.docx | DOCX document | |
| Attach_9_BSSS_QASP.docx | DOCX document |
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Text version
UNCLASSIFIED//FOUO
SOURCE SELECTION INFORMATION – SEE FAR 2.101 & 3.104
SOURCE SELECTION INFORMATION – SEE FAR 2.101 & 3.104
Personnel Security Clearance Information (Template)
Full Name (Last, First Middle)
| DOB |
| POB |
| SSN |
| Type of Investigation/ |
Close Date
| SCI Eligibility Date |
| Govt. Sponsor |
| YYYYYY, Jane Ann |
| 05/06/1970 |
| Washington, DC |
| 666-66-2345 |
| SSBI-PR |
| 01/20/2019 |
| 02/25/2019 |
| DIA |
| XXXXX, John Henry |
| 02/01/1981 |
| San Diego, CA |
| 777-77-7890 |
| SSBI |
| 07/26/2021 |
| 08/30/2021 |
| NGA |
Note: This document contains personally identifiable information and is for official use only. Unauthorized dissemination or use of personally identifiable information is a violation of Federal law. Individuals in violation may be subject to fines, disciplinary actions or both (P.L. 93-579)
File details come from the government source that posted it. Updated .