8 - Bread Bid Buy American.pdf

BUY AMERICAN PROVISION CERTIFICATION FORM FOR FOOD

PURCHASES

SFA Name: St. Bernard Parish School Board The Buy American Provision 7CFR Part 210.21(d)) requires School Food Authorities to purchase, to the maximum extent practical, domestically grown and processed foods. '-Domestic" is defined as aproduct that is grown in the United States, or with processed food items, the product must be processed in the United States of food that is produced and grown domestically in the United States. Any product processed by aresponsive vendor must contain over 51% ofthe food component, by weight orvolume, from U.S. ongin.

The vendor must include all food products bid bv the company that do not meet the definition of"domestic".

This document must be included as a part of the bid.

VENDORS MUST CERTIFY EITHER: (CHECK NUMBER 1OR2)

1. 1certify that all food products bid by my company are 100% produced inthe U.S., or processed in the U.S. with the final processed product including over 51% of food that was grown in the U.S.

2. 1certify thatail food products bid by my company are 100% produced in the U.S., or processed in the U.S. with the final processed product including over 51% of food that was grown in the U.S. with the EXCEPTION of the following items listed below

NAME OF FOOD ITEM COMPLETE BELOW AND CHECK THE APPROPRIATE REASON THE NON-DOMESTIC

PROHUT B »*•" FOR FACH ITEM.

This product includes % US Content. The product isgrown in

The product is not produced ormanufactured in the U.S. in sufficient and reasonably available quantitiesof a satisfactory quality.

OR

The costofthe U.S. product is significantly higher than the non-domestic product.

List prices and unit pack size below for item to beconsidered:

$ _J Price of Domestic or U.S. Grown Product PerUnit

$ __/ Price of Domestic or U.S. Grown Product Per Unit

This product inrltidps %M$ rnntpnt. The product isgrown in

The product is not produced ormanufactured in the U.S. in sufficient and reasonablyavailable quantities of a satisfactory quality.

OR

The costof the U.S. product issignificantly higher than the non-domestic product.

List prices and unit pack sizebelow for itemto be considered:

$ __/ Price of Domestic or U.S. Grown Product Per Unit

$ _7 Priceof Domestic or U.S. Grown Product Per Unit

NAME OF FOOD ITEM COMPLETE BELOW AND CHECK THE APPROPRIATE REASON THE NON-DOMESTIC

PRODUCT IS BID FOR EACH ITEM.

Thisprnn'tirtin'-l'H'x: % 11 S Content. The product isgrown in

The product is notproduced ormanufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

The cost of the U.S. product is significantly higher than the non-domestic product.

List prices and unit packsizebelow for itemto be considered:

$ _J Priceof Domesticor U.S. Grown Product Per Unit

$ _J Priceof Domesticor U.S. Grown Product Per Unit

Thisproduct includes % U.S. Content. The product isgrown in

The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

The cost of the U.S. product is significantly higher than the non-domestic product.

List prices and unit pack size below for item to be considered:

$ _J Price of Domesticor U.S. Grown Product Per Unit

$ _J Price of Domestic or U.S. Grown Product Per Unit

Thisproduct includes % U.S. Content. The product isgrown in

The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

The cost of the U.S. product is significantlyhigher than the non-domestic product.

List prices and unit pack size below for item to be considered:

$ _J Price of Domestic or U.S. Grown Product Per Unit

$ / Price of Domestic or U.S. Grown Product Per Unit

This product includes % U.S. Content. The product is grown in

The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

The cost of the U.S. product is significantly higher than the non-domestic product

Ust prices and unit pack size below for item to be considered:

$ / Price of Domestic or U.S. Grown Product Per Unit

$ / Price of Domestic or U.S. Grown Product Per Unit

1pRODUCTJSJipjpiEAOyjiM.

Tn^rodu^Sul^^ is grown in •

The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of asatisfactory quality.

™ Tne cost of the U.S. product is significantly higher than the non-domestic product.

List orices and unit pack size below for item to be considered:Ustpncw ana^j. ^ ^^^^y$^^ pro(Juct per Umt

Price of Domestic or U.S. Grown Product Per Unit J

^f-pT^^iu^IZ^ The product is grown in • The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of asatisfactory quality.

™ The cost of the U.S. product is significantly higher than the non-domestic product.

List prices and unit pack size below for item to be considered:

" P /_ __ Price of Domestic or U.S. Grown Product Per Unit

Price of Domestic or U.S. Grown Product Per Unit

Tr^r^ucTi^lu^eTZZjnilttSSTrtS^u^fc^ in • The product is not produced or manufactured in the U.S. in sufficient and reasonably available quantities of asatisfactory quality.

™ The cost of the U.S. product is sign.ficantly higher than the non-domestic product.

Ust prices and unit pack size below for item to be considered:

" P /_ _ price of Domestic or U.S. Grown Product Per Unit

$ i price of Domestic or U.S. Grown Product Per Unit

Company Name:

Signature:

Title:

Date:

RETURNWITH YOUR BID

Cm N*n*» St^»„ dee™,,**.<o purchase *e domestic - the non-domestic produa consider,, the information above and will notify the vendor of the award.