L-8_Facility_Security_Clearance_Level_Template.docx
DOCX document 41 KB Posted
- Solicitation number
- HM0476_20260105
About this file
This is a Facility Security Clearance Information template document used for the FS3i (Foundation Sustainment Support, Software and Integration) contract opportunity. The template is designed to collect and organize contractor facility security clearance data for source selection purposes and is marked as UNCLASSIFIED SOURCE SELECTION INFORMATION that will contain personally identifiable information (PII) and become FOR OFFICIAL USE ONLY (FOUO) when completed. The template includes fields for contractor company information (name, address, CAGE code), facility security clearance levels (such as Top Secret and Secret), and safeguarding capabilities, with example entries showing two companies with their respective clearance levels and locations. The document includes a standard warning regarding the unauthorized dissemination or use of PII, which constitutes a violation of federal law under P.L. 93-579 and may result in fines or disciplinary actions. This template is associated with solicitation number HM047625R0016 and will be utilized during the National Geospatial-Intelligence Agency's competitive acquisition process for the FS3i indefinite delivery/indefinite quantity contract anticipated for release on or around April 30, 2026.
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Text version
UNCLASSIFIED
SOURCE SELECTION INFORMATION – SEE FAR 2.101 & 3.104DRAFT
Classify When Complete
SOURCE SELECTION INFORMATION – SEE FAR 2.101 & 3.104
Classify When Complete Facility Security Clearance Information (Template) Contract Name: FS3i Contractor Name: {XXX Company} Solicitation No: HM047625R0016
| Company Name |
| Street |
| City |
| State |
| Zip Code |
| CAGE |
Code
| FCL |
| Safeguarding |
Capability Comment
| JJJJJJ Company |
| 1234 Paryway Circle |
| Park City |
| UT |
| 34IU8 |
| Top Secret |
| Secret |
| JJJJJJ Company |
| 345 Westcott Rd |
| Roanoke |
| VA |
| 67IO9 |
| Top Secret |
| Top Secret |
Note: This document will contain personally identifiable information (PII) and is FOR OFFICIAL USE ONLY (FOUO) once filled in. Unauthorized dissemination or use of PII 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 .