Attachment 1 - C-SCRM Questionnaire.xlsx

XLSX spreadsheet 171 KB Posted

Attached to
Closed Circuit Television (CCTV) and Accessories
Solicitation number
19TH2026Q0079
Issued by

About this file

This file is a Cybersecurity Supply Chain Risk Management (C-SCRM) Questionnaire template designed to assess vendor compliance with supply chain security practices. The questionnaire is intended to be completed by vendors submitting offers for the Closed Circuit Television (CCTV) and Accessories solicitation issued by the Department of State US Embassy Bangkok (Solicitation Number 19TH2026Q0079). The template requires vendors to provide contact information for a primary point of contact and to respond to questions across three sections: contact information, vendor risk management plans, and physical and personnel security practices.

Section 1 requests basic company and contact details including company name, primary point of contact name, job title, phone number, and email address. Section 2 addresses the vendor's risk management plan and requires yes/no responses regarding supply chain threat identification, mapping of key suppliers to threats, written SCRM requirements in supplier contracts, and verification of supplier compliance with SCRM requirements; vendors without suppliers may answer "Yes" to all items. Section 3 covers physical and personnel security, asking whether the organization conducts background checks on employees, implements procedures to prevent tampering with ICT equipment in inventory, and provides insider threat recognition and reporting training. The questionnaire references NIST SP 800-53 and ISO 27001 standards as compliance frameworks and includes a scoring mechanism to track responses as "Yes," "No," "Not Applicable," or "Alternative," though specific scoring methodology is not detailed in the template.

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RFQ no. 19TH2026Q0079 - CCTV and Accessories.pdf PDF

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C-SCRM Questionnaire

CYBERSECURITY SUPPLY CHAIN RISK MANAGEMENT (C-SCRM) QUESTIONNAIRE
Instructions:

- This worksheet shall be completed by the vendor responsible for submitting the offer. References to "organization" refer to the offering entity. If the offering entity is a joint venture (JV), the response may come from either the JV or from the JV managing partner.

- Provide the requested inputs in the gray shaded lines of the template under column D, Vendor Response, for all Items Numbers for Sections 1-3. Offerors are advised that the Government may request documentation from the Offerors to validate the responses provided.

SECTION 1 - CONTACT INFORMATION
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSE
1.1Enter the name of your company.
1.2Enter the name of the primary Point-Of-Contact (POC) for your company that the Government may contact to discuss the vendor inputs on this questionnaire.
1.3Enter the job title of the primary POC.
1.4Enter the phone number of the primary POC in the following format: (555) 555-5555
1.5Enter the e-mail address of the primary POC.
SECTION 2 VENDOR RISK MANAGEMENT PLAN
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 Reference or (ISO 27001 Reference)
2.1Does your organization identify its key supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7 (7.5, A.5.24, A.5.22)
2.2Does your organization map key suppliers to your supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7 (7.5 A.5.24, A.5.22)
2.3Does your organization have written SCRM requirements in contracts with your key suppliers? (Note: if you do not have suppliers, answer "Yes")SA-4 (A.5.20)
2.4Does your organization verify that your suppliers meet SCRM requirements through contractual terms and conditions? (Note: if you do not have suppliers, answer "Yes")SR-6 (A.5.22)
SECTION 3 PHYSICAL AND PERSONNEL SECURITY
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 Reference or (ISO 27001 Reference)
3.1Does your organization have policies for conducting background checks of your employees as permitted by the country in which your organization operates?PE-2, PE-3, PS-3 (A.6.1)
3.2Does your organization have procedures in place to prevent tampering of Information and Communications Technology (ICT) equipment stored as supply chain inventory?SR-9, AC-1 (A.5.15)
3.3Do you provide literacy training on recognizing and reporting potential indicators of insider threat?AT-2(2) (7.3, A.6.3)

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Data (HIDE)

StatusScoreStatusNot ReviewedYesNoNot ApplicableAlternativeTotal
ERROR:#REF!ERROR:#REF!CountsERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!
PctERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!

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Counts Not Reviewed Yes No Not Applicable Alternative 0 0 0 0 0

DL (HIDE)

GWACSPoolImplementation StatusAnswer
Alliant/ Alliant 2Small Business (SB) PoolSatisfiedYes
Alliant SBHUBZone SB (HUBZone) PoolPartially SatisfiedNo
8(a) STARS IIWomen Owned SB (WOSB) PoolNot Satisfied
VETS/ VETS2OtherNot Applicable
TBD
Not Reviewed

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File details come from the government source that posted it. Updated .