Attachment 1 - C-SCRM Questionnaire.xlsx

XLSX spreadsheet 166 KB Posted

Attached to
Enterprise Network Switch with PoE+ (Power over Ethernet)
Solicitation number
19TH2026Q0017
Issued by

About this file

This file is a Cybersecurity Supply Chain Risk Management (C-SCRM) Questionnaire in Excel format designed to assess contractor compliance and risk mitigation practices. The questionnaire serves as an evaluation tool for vendors responding to the RFQ for Enterprise Network Switch with PoE+ (Power over Ethernet) issued by the Department of State US Embassy Bangkok under Solicitation Number 19TH2026Q0017.

The questionnaire template requires contractors to provide detailed responses regarding their supply chain security practices, vendor management procedures, and cybersecurity controls. As an appendix to the solicitation, this document functions as a compliance and risk assessment instrument rather than a specification of product requirements. Prospective vendors must complete this questionnaire as part of their quotation submission by the deadline of March 23, 2026 at 15:30 PM Bangkok time, with questions directed to soontare@state.gov. The completed questionnaire must be submitted in MS-Word 2007/2010, MS-Excel 2007/2010, or Adobe Acrobat PDF format with file sizes not exceeding 30MB per submission.

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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
2.1Does your organization identify its key supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7
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
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
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
SECTION 3 PHYSICAL AND PERSONNEL SECURITY
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 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

3.2 Does 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

3.3 Do you provide literacy training on recognizing and reporting potential indicators of insider threat? AT-2(2)

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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 .