Attachment 5- Supply Chain Risk Management Form.xlsx
XLSX spreadsheet 26 KB Posted
- Attached to
- (IIJA) Compliant Gloves
- Solicitation number
- 75N98025R00018
About this file
Attachment 5 is a Supply Chain Risk Management (SCRM) Form for a federal solicitation seeking 100% domestically sourced medical-grade gloves. The form requires detailed information from potential vendors, including company details, ownership structure, sourcing locations, manufacturing origins, supplier agreements, and product certifications. Vendors must specifically attest that 100% of their glove product components are grown, sourced, and manufactured in the United States.
The related federal contract opportunity (Solicitation Number 75N98025R00018) is issued by the Department of Health and Human Services National Institutes of Health, seeking Infrastructure Investment and Jobs Act (IIJA) compliant medical and surgical grade gloves. The solicitation indicates a single contract award based on best value, with proposals due by Friday, July 18, 2025 at 12pm EST. Critically, any proposed gloves that are not 100% domestically sourced will be immediately disqualified from further evaluation, emphasizing the strict domestic manufacturing requirement.
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Text version
RFP SCRM GLOVES
Instructions tc={9A574983-2283-4745-9895-910F6D62F10E}: [Threaded comment]
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Comment:
@Van Absher, Elizabeth (NIH/OD) [E] and @Ballou, Emily (NIH/OD) [E] and @Carr, Gwendolyn (NIH/OD) [E] , @Brown, Erinn (NIH/OD) [E] , please review this document to ensure it contains all of the information required for a TEP to make a determination on MIA Compliance. Please insert comments directly into the document (Do not email to me). Thanks!
| 1. Please complete all columns for each PPE GLOVE product being offered by your company. Incomplete columns will be deemed nonresponsive. | |||||||||||||||||
| 2. Please enter only one (1) PPE GLOVE item per line. Do not combine multiple GLOVE product(s) into one (1) entry. | |||||||||||||||||
| Company Name | |||||||||||||||||
| Small Business Designation (SB, WOSB, EDWOSB, SDB, HUBZone, 8a, SDVOSB, VOSB) | Unique Entity ID (SAM UEI Number) | Point of Contact (Name) | Point of Contact (Email) | Address of Company Incorporation | Manufacturer, Authorized Distributor, or Both? | Company Ownership Structure | State(s) Where Materials are Sourced | State(s) Where End Product is Manufactured | Do you have current supplier agreements and certificates of component origin from your supplier? (Yes/No/NA because my company is the supplier) | Do you have current supplier agreements and certificates of end-product (gloves) origin from your supplier? (Yes/No/NA because my company is the supplier). If yes, please include a copy in your response to this notice. | Attestation: Are 100% of the product components of the gloves you sell commercially, grown, sourced, and manufactured in the United States of America? (Yes or No) | Glove Type - Category | Medical Grade? (Y/N) | Product Specifications That Will Be Offered | Certifications, Standards, and Clearances (ex. FDA 510K holder) | Current Capability (Qty & UoM) | Can Meet and Sustain Shipment Frequency up to 1x/week (Y/N) |
LISTS
| Glove Company Type | Ownership Structure | Other Qs | Gloves Type - Category |
| Manufacturer | Sole proprietorship | Yes | Latex |
| Distributor | Partnership | No | Vinyl |
| Both | Limited Liability Company (LLC) | Neoprene | |
| Corporation | Polyisoprene | ||
| Other (Please List in Column) | Nitrile |
File details come from the government source that posted it. Updated .