52.225-2 Buy American Act Certificate-COTS 2.pdf

PDF 136 KB Posted

Attached to
Medical Video Monitors - IC Federal contract opportunity
Solicitation number
36C26326Q0899
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

About this file

This is a federal contracting compliance form—specifically, the FAR 52.225-2 Buy American Act Certificate tailored for Commercially Available Off-The-Shelf (COTS) items. The form serves as a template for offerors to certify compliance with Buy American Act requirements when submitting proposals for federal procurement opportunities.

The certificate requires offerors to identify and list any foreign end products by line item number and country of origin, including a determination of whether such products exceed 55 percent domestic content (applicable only to non-iron/steel items). For products consisting wholly or predominantly of iron or steel, domestic content assessment is not required. Offerors must complete the Solicitation, Procurement Name, and Location fields at the top of the form. If all requested items are domestically manufactured, offerors check the Domestic Product Certification box and certify the statement with the signature, printed name, company name, and title of an authorized representative. The form permits adding additional pages as necessary to accommodate multiple line items. For non-American made COTS items, only the Line Item Number and Country of Origin columns require completion. Unknown domestic content percentages default to "no" on the domestic content threshold question.

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P09 SOW.docx DOCX document
P03 J and A Signed.pdf PDF
36C26326Q0899.pdf PDF

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Text version

52.225-2 Buy American Act Certificate (Tailored) Commercially available off-the-shelf (COTS)

Solicitation:

Procurement Name:

Location:

a) Foreign End Products:

Line item No. Country of origin Exceeds 55% domestic content (yes/no)

[List as necessary]

b) Domestic Product Certification:

I certify that all items listed in the above name solicitation are domestically produced.

Signature:

Name printed:

Company

Yes No

Yes No

Yes No

Yes No

Yes No

Add additional pages as needed.

Completion Instructions A) The Offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products. For those foreign end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content. If the percentage of the domestic content is unknown, select “no”.

i) For non-American made COTS items, only Line item No. and Country of Origin columns are needed to be completed.

B) If requested items are made in America check this box.

C) List name and position of the person completing this certificate. Certify this certificate with a signature.

Title:

Solicitation:
Procurement Name:
Location:
Line item NoRow1:
Line item NoRow2:
Line item NoRow3:
Line item NoRow4:
Line item NoRow5:
Country of originRow5:
Name printed:
Country of originRow1:
Country of originRow2:
Country of originRow3:
Country of originRow4:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off
Position:
Company:

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