9 - Milk Bid Buy American.pdf

BUY AMERICAN PROVISION CERTIFICATION FORM FOR FOOD

PURCHASES

SFA Name: St. Bernard Parish School Board The BuyAmerican Provision 7 CFRPart210.21(d)) requires School Food Authorities to purchase, to the maximum extent practical, domestically grownand processed foods. ""Domestic" is defined as a product that is grownin the UnitedStates, or withprocessed food items, the product mustbeprocessedin the United Statesof food that is produced andgrown domestically in the United States. Any product processed bya responsive vendor must contain over 51% of the food component, by weightor volume, from U.S. origin.

The vendor must include all food products bid bv the companythat do not meetthe definitionof "domestic".

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

VENDORS MUST CERTIFY EITHER: (CHECK NUMBER 1 OR 2)

1. I certify that all 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.

2. Icertify that all 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 inthe U.S. withthe EXCEPTION of the following items listed below

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

PRODUCT IS BID FOR EACH ITEM.

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.

U'st prices and unit pack size below for item to be considered:

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

$_ 7_ 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 significantlyhigher than the non-domestic product.

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

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

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

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

PRODUCT IS BID FOR EACH ITEM.

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 ProductPer Unit

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

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

.The product isnot produced or manufactured inthe 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:

S / Priceof Domestic or U.S. Grown Product Per Unit

$ / Price of Domestic or U.S. Grown ProductPerUnit

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

.The product isnot produced or manufactured inthe U.S. insufficient and reasonably available quantities of a satisfactory quality.

OR

Thecost of the U.S. productissignificantly higher than the non-domestic product.

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

S / Price of Domestic or U.S. Grown ProductPer Unit

$_ 7. . Price of Domestic or U.S. Grown Product Per Unit

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

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

OR

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

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

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

$. 7. Price of 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.

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

.The productis not produced or manufactured inthe U.S. insufficient and reasonably available quantities of a satisfactory quality.

OR

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

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

$ I Price of Domestic or U.S. Grown ProductPer Unit

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

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

.The product isnotproduced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

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

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

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

$. 7 . Price of Domestic or U.S. Grown Product Per Unit

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

.The product isnotproduced or manufactured in the U.S. in sufficient and reasonably available quantities of a satisfactory quality.

OR

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

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

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

$_ 7_ Price of Domestic or U.S. Grown Product Per Unit

Company Name:

Signature:

Title:

Date.

RETURN WITH YOUR BID

Child Nutrition Staff will determine whether to purchase the domestic or the non-domestic product considering the information above and will notify the vendor of the award.