Atch 2 Domestic or Non-domestic Vertification Statement -0011.pdf

FA8201-22-Q-0011

Attachment 2

Company Name:

Company Cage Code:

Company Point of Contact Information (Name, Title, Email):

Name:

Title:

Email:

Domestic or Non-Domestic Verification Statement

Complete Either Item 1 OR 2 as applicable.

Non-Domestic Verification Statement

1. Products that do not qualify as domestic end products are identified as required in 52.225-2 Buy American Certificate. The 52.225-2 Buy American Certificate is submitted with our quote.

Signature Date

Domestic Verification Statement

2. Products are domestic end products. The 52.225-2 Buy American Certificate is not applicable.

Signature Date