01. BAA_Certification_08.29.2023_(D5) (1).pdf

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Tabletop Maskless Aligner System
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This is a Buy American Act Certification form used by the SLAC National Accelerator Laboratory for federal contract solicitations. The form requires bidders and offerors to certify whether each end product qualifies as a U.S. domestic commercial product. If the offeror answers "Yes" to this certification, they proceed directly to Section (C) for signature. If the answer is "No," the offeror must complete Sections (A), (B), and (C).

Section (A) requires identification of any excluded end products in accordance with FAR Part 25.104. Section (B) mandates certification that each end product, except those listed, is a domestic source end product as defined by Buy American Act provisions, with no components of unknown origin mined, produced, or manufactured outside the United States. The offeror must provide an estimate of foreign content as a percentage of the total purchase order or subcontract award price, with accuracy within plus or minus 5 percent acceptable, and identify the country or countries of origin. Section (C) requires the offeror's signature, printed name, title, company name, and date, which makes all representations and certifications part of the quotation. This is a template form (REV. 08.29.2023) requiring completion for each solicitation.

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BUY AMERICA ACT CERTIFICATION (REV. 08.29.2023) Page 1 of 1

SUPPLY CHAIN MANAGEMENT

BUY AMERICAN ACT CERTIFICATION

Solicitation Number

The bidder/offeror hereby certifies that each end product qualifies as a U.S. domestic commercial product.

Yes No

If the answer above is Yes, skip to Section (C). If the answer above is No, fill out Sections (A), (B) and

(C) Below:

A. Excluded end products, in accordance with FAR Part 25.104. (Mark "N/A" if not-applicable)

B. The bidder/offeror hereby certifies that each end product, except the end products listed below, is a domestic source end product (as defined in the Buy American Act provisions); and that NO components of unknown origin have been mined, produced, or manufactured outside the United States.

The bidder/offeror will represent (as an estimate), herein, before the award of a purchase order or subcontract, the percent of the foreign content of the item or service being procured expressed as a percent of the total purchase order/subcontract award price (accuracy within plus or minus 5 percent is acceptable).

Percent (%) of Foreign Content:

Country of Origin:

c. THE OFFEROR’S SIGNATURE MAKE THE ABOVE REPRESENTATIONS AND

CERTIFICATIONS PART OF THEIR QUOTATION

Offeror’s Signature: Date:

Printed Name:

Title:

Company Name:

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