7-Buy America Preference Certification Form Fill.pdf

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Attached to
Ballard Park Fitness Equipment Purchase and Installation
Solicitation number
IFB260040
Issued by
Jefferson County, Kentucky

About this file

This is a Build America, Buy America Act Optional Buy America Preference (BAP) Certification form issued by the Community Planning Development agency for a HUD-funded infrastructure project. The certification covers the Ballard Park Improvements project under Grant Number GR00004081, Activity Number 28760. The form is used to certify compliance with the Build America, Buy America Act requirements, ensuring that all iron, steel, manufactured products, and construction materials incorporated into the infrastructure project are produced in the United States unless exempted by HUD general waivers or project-specific waivers from the Made in America Office at OMB.

The certification requires that all iron and steel materials undergo complete manufacturing processes within the United States from initial melting through coating application, manufactured products must be produced domestically with greater than 55% domestic component costs, and all construction materials must be manufactured entirely in the United States. The signatory must attach a comprehensive list of all covered materials procured and used in the project and agrees to provide documentation on country of origin for all materials upon request from the CPD grantee and HUD. The certification is supported by Federal award number C-21-TA-MD-0009 awarded to Enterprise Community Partners, Inc., and subjects the signatory to penalties under 31 U.S.C. Chapter 38 for false claims and statements.

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Text version

CO

PLANNING

DEVELOPMENT

UNITY

Build America, Buy America Act:

Optional Buy America Preference (BAP) Certification

CERTIFICATION

Project Information

Grantee

Grant Number

Activity Name

Activity Number (IDIS/DRGR)

This “Optional Buy America Preference Certification” is used to certify that, as required by the Build America, Buy America (BABA) Act, all of the iron, steel, manufactured products, and construction materials incorporated into an infrastructure project are produced in the United States, unless exempted by a HUD general waiver or a project-/product-specific waiver approved by the Made in America Office (MIAO) at the Office of Management and Budget (OMB).

For covered materials not otherwise exempted from the Buy America Preference (BAP), the undersigned certifies the following:

• All iron and steel used in the project are produced in the United States. This means all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States;

• All manufactured products used in the project are produced in the United States. This means the manufactured product was manufactured in the United States, and the cost of the components of the manufactured product that are mined, produced, or manufactured in the United States is greater than 55 percent of the total cost of all components of the manufactured product, unless another standard that meets or exceeds this standard has been established under applicable law or regulation for determining the minimum amount of domestic content of the manufactured product;

• All construction materials used in the project are manufactured in the United States. This means that all manufacturing processes for the construction material occurred in the United States.

Attach a list of all covered materials procured by the signatory and used in the project.

I hereby certify this information is complete and accurate and agree to provide documentation collected on the country of origin for all covered materials I caused to be incorporated into or affixed to an infrastructure project to the CPD grantee and HUD upon request. I understand and agree that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any.

Signature Title/Organization Date

This material is based upon work supported, in whole or in part, by Federal award number C-21-TA-MD-0009 awarded to Enterprise Community Partners, Inc. by the US Dept of HUD. The substance and findings of the work are dedicated to the public. Neither the United States Government, nor any of its employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately-owned rights. Reference herein to any individuals, agencies, companies, products, process, services, service by trade name, trademark, manufacturer, or otherwise does not constitute or imply an endorsement, recommendation, or favoring by the author(s), contributor(s),the U.S. Government or any agency thereof. Opinions contained herein are those of the author(s) and do not necessarily reflect the official position of, or a position that is endorsed by, HUD or any Federal agency.

Grantee: HUD
Grant Number: GR00004081
Activity Name: Ballard Park Improvements
Activity Number IDISDRGR: 28760
Title and Organization:
Date:

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