4-Form C1 - Buy America (Steel, Iron, Manuf Prodx).pdf
PDF 577 KB Posted
- Attached to
- BUS WRAP REPAIR (FURNISH AND INSTALL)
- Solicitation number
- 543456 - 2
- Issued by
- Wayne County, Michigan
About this file
This is a Buy America Certificate of Compliance form issued by the Office of Contracting and Procurement and Detroit Department of Transportation for an FTA-funded bus wrap repair project. The form requires proposers to certify their compliance status with Buy America requirements under 49 USC 5323(j)(1) and 49 CFR Part 661. Proposers must complete only one of two certification sections: either certifying full compliance with Buy America steel, iron, and manufactured products requirements, or certifying noncompliance while potentially qualifying for an exception under 49 USC 5323(j)(2)(B) or (j)(2)(D). Failure to complete the form or completion of both sections will result in automatic disqualification. The related solicitation is for Bus Wrap Repair (Furnish and Install) services for the Detroit Department of Transportation at various locations with a contract term of three years.
The form requires proposer certification by company representative with signature, date, company name, and title. As this is an FTA-funded project in Michigan, all steel, iron, and manufactured products incorporated into the bus wrap repair services must meet Buy America domestic content requirements unless a qualifying exception is obtained. This certification is a mandatory compliance document required as part of the proposal submission process for the solicitation.
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Text version
OFFICE OF CONTRACTING AND PROCUREMENT &
DETROIT DEPARTMENT OF TRANSPORTATION
Solicitation No.: ___________________
Solicitation Title: ___________________
IMPORTANT: Complete only ONE of the below sections.
Failure to complete, or completing both sections shall automatically disqualify the proposer.
BUY AMERICA CERTIFICATE OF COMPLIANCE WITH 49 USC 5323(j)(1)
The Proposer hereby certifies that it WILL COMPLY with the requirements of 49 USC
5323(j)(1), the regulations in 49 CFR Part 661.
Date: ________________________________________________
Signature: ____________________________________________
Company Name: _______________________________________
Title: ________________________________________________
===============================OR===================================
BUY AMERICA CERTIFICATE FOR NONCOMPLIANCE WITH 49 USC 5323(j)(1)
The Proposer hereby certifies that it CANNOT COMPLY with the requirements of 49 USC
5323(j) (1), 49 CFR Par 661, but may qualify for an exception to the requirement pursuant to 49
USC 5323(j) (2) (B) or (j) (2) (D) and regulations in 49 CFR Part 661.7.
Date: __________________________________________
Signature: ______________________________________
Company Name: _________________________________
Title: __________________________________________
6 of 52 FTA Required Forms (RFP) Version 12/25
BUY AMERICA
(STEEL, IRON, & MANUFACTURED PRODUCTS)
FORM C1
File details come from the government source that posted it. Updated .