01. BAA_Certification_08.29.2023_(D5) (1).pdf
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- Attached to
- Oil Purifier Turn Key Skid
- Solicitation number
- SLAC_354621_OilPurifierTurnKeySkid
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Department of Energy Office of Science
About this file
The document is a Buy America Act (BAA) Certification form for a federal contract opportunity at SLAC National Accelerator Laboratory. The form requires bidders/offerors to certify whether their end products qualify as U.S. domestic commercial products, with the option to specify foreign content percentage and country of origin if applicable. The form is designed to verify compliance with Buy American Act provisions, requiring vendors to confirm that components are not mined, produced, or manufactured outside the United States, with an allowable accuracy range of plus or minus 5 percent for foreign content estimation.
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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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