Attachment_10_Personnel_Security_Clearance_Template.docx

This is a Personnel Security Clearance Information Template used as Attachment 10 to the NGA HRM II RFP (HM047626R0018). The template is designed to collect and document security clearance status information for personnel supporting the contract effort.

The template captures essential personnel security data including full name, current employer, date of birth, place of birth, Social Security Number, type of investigation conducted, SCI (Sensitive Compartmented Information) eligibility date, clearance status, and government sponsor agency. Two sample entries are provided: one individual with an SSBI-PR (Single Scope Background Investigation—Periodic Reinvestigation) investigation from 2009 with briefed SCI status sponsored by the Defense Intelligence Agency, and another with an SSBI investigation from 2001 with debriefed SCI status sponsored by the National Geospatial-Intelligence Agency. The document is marked as containing personally identifiable information for official use only, with restrictions on unauthorized dissemination per the Privacy Act (P.L. 93-579). Contractors responding to this RFP should be prepared to provide similar security clearance documentation for key personnel assigned to the HRM II contract.