15-Att. J. BUY AMERICA CERTIFICATION FORM.pdf

PDF 116 KB Posted

Attached to
Police Pursuit Vehicles
Solicitation number
269- 2026-173
Issued by
Mecklenburg County, Cleveland Town, North Carolina

About this file

This is a Buy America Certification Compliance Form for RFP 269-2026-173 issued by the City of Charlotte and Charlotte-Mecklenburg Police Department (CMPD) in North Carolina for the procurement of Police Pursuit Vehicles. The form requires bidders to certify their compliance status with federal Buy America requirements under 49 U.S.C. 5323(j)(1) and applicable regulations in 49 CFR Part 661. Bidders must submit either a Compliance Certificate affirming adherence to Buy America requirements or a Non-Compliance Certificate identifying items that do not comply while potentially qualifying for exceptions under 49 U.S.C. 5323(j)(2)(A), (B), or (D). The form must be signed and returned with the bid submission, and bids cannot be considered without a completed certification.

The FTA provides bidders an opportunity to submit written explanations to the FTA Chief Counsel on the day of bid opening if an incomplete or incorrect Buy America certificate is submitted due to inadvertent or clerical error. Bidders electing non-compliance must identify specific items that do not meet Buy America standards in the designated space on the form. This certification requirement ensures federal compliance for any procurement involving federal funding and establishes the threshold for bid acceptance and evaluation.

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Text version

RFP 269-2026-173

CCPA Police Pursuit Vehicles April 14, 2026

BUY AMERICA CERTIFICATION

COMPLIANCE FORM

Certificate for Compliance with 49 U.S.C. 5323(j)(1) (Procurement of Steel, Iron, or Manufactured Products)

The Bidder hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1) and the applicable regulations in 49 CFR Part 661.

Date:

Signature:

Company Name:

Title:

NON COMPLIANCE FORM

Certificate for Non-Compliance with 49 U.S.C. 5323(j)(1) (Procurement of Steel, Iron, or Manufactured Products)

The Bidder hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j)(1) and the applicable regulations in 49 CFR 661, but it may qualify for an exception pursuant to 49 U.S.C.

5323(j)(2)(A), 5323(j)(2)(B), or 5323(j)(2)(D), and 49 CFR 661.7.

Date:

Signature:

Company Name:

Title:

Identify items that are non-compliant in the space below:

NOTICE TO BIDDERS:

Your bid cannot be considered unless one of the above certifications is signed and returned with the bid. If you submit an incomplete Buy America certificate or an incorrect certificate of non-compliance through an inadvertent or clerical error, you may submit to the FTA Chief Counsel, on the day of the Bid Opening, a written explanation of the circumstances surrounding the submission of the incomplete or incorrect certification.

COMPLIANCE FORM
NON COMPLIANCE FORM
NOTICE TO BIDDERS:

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