Attachment 4 - Make PPE Certification.pdf
PDF 85 KB Posted
- Attached to
- 6515--MSPV Q4 FY23 SOLICITATION
- Solicitation number
- 36C24123Q0765
About this file
This document contains a certification form and list of personal protective equipment items for a federal contract opportunity. The certification form requires the bidder to certify that any listed PPE items meet the domestic production requirements for items and components as defined in the Infrastructure Investment and Jobs Act. The bidder must certify on behalf of their company that the listed PPE items in Attachment 1 meet the requirements of Section 70953(b) or 70953(d) of the Act and note which section applies to each item. The related federal contract opportunity is solicitation number 36C24123Q0765 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 to procure PPE items for the fourth quarter of fiscal year 2023.
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Make PPE in America Compliance Certification
I am certifying that the items in the attached list (see attachment 1 PPE Items) meet the requirements for Personal Protective Equipment as defined in the Infrastructure Investment and Jobs Act PL 117-58, Section 70953 as follows:
70953 (a)(3) PERSONAL PROTECTIVE EQUIPMENT.— The term ‘‘personal protective equipment’’ means surgical masks, respirator masks and powered air purifying respirators and required filters, face shields and protective eyewear, gloves, disposable and reusable surgical and isolation gowns, head and foot coverings, and other gear or clothing used to protect an individual from the transmission of disease.
70953 (b) CONTRACT REQUIREMENTS FOR DOMESTIC PRODUCTION. (2) be for personal protective equipment, including the materials and components thereof, that is grown, reprocessed, reused, or produced in the United States.
70953 (d) AVAILABILITY EXCEPTION.—(1) IN GENERAL.—Subsections (b) and (c) shall not apply to an item of personal protective equipment, or component or material thereof—
(A) that is, or that includes, a material listed in section 25.104 of the Federal Acquisition Regulation as one for which a non-availability determination has been made.
I __________________, certify on behalf of _______________ (company name) that indicated items on attachment 1 PPE Items meet the requirements for Section 70953 (b) or 70953 (d), and is noted as such on the attachment.
Name
Title
| attachment 1 PPE Items meet the requirements for Section 70953 b or 70953 d and is noted as such: |
| certify on behalf of: |
| Title: |
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