Attach_5_PCL Template.docx

This is a Personnel Security Clearance Information template used for source selection purposes in federal contracting. The document serves as a standardized form for contractors to provide security clearance details for key personnel proposed for a contract award. The template captures essential information including full name, date of birth, place of birth, Social Security number, type of investigation conducted, investigation close date, Security/Special Compartmented Information (SCI) eligibility date, and the government sponsor agency.

The example entries demonstrate the template's application with two sample personnel records: one individual with a Single Scope Background Investigation with Periodic Reinvestigation (SSBI-PR) sponsored by the Defense Intelligence Agency (DIA) with clearance eligibility dated February 25, 2019, and another with a standard SSBI sponsored by the National Geospatial Intelligence Agency (NGA) with eligibility dated August 30, 2021. The document is marked as containing personally identifiable information for official use only and includes standard federal law warnings regarding unauthorized dissemination under the Privacy Act (P.L. 93-579).