Attachment 3 Country of Origin Request Form 1232SA26Q1121.docx

This is a Country of Origin Request Form that vendors must complete as part of Solicitation Number 1232SA26Q01121 issued by the Department of Agriculture Agricultural Research Service for the supply and delivery of one Pulsed Nuclear Magnetic Resonance (NMR) Spectrometer. The form requires vendors to provide the brand and model of the equipment, identify the country of origin and country of final assembly, and certify compliance with the Buy American Act (BAA) and Trade Agreements Act (TAA) by checking the appropriate yes or no boxes. The form must be completed and signed by an authorized representative with their name, title, and date.

This RFQ for commercial items is an unrestricted acquisition with no small business set-aside, allowing all responsible sources to submit quotations. The applicable NAICS code is 334516 with a small business size standard of 1,000 employees. Vendors responding to this solicitation must complete this Country of Origin Request Form as part of their quotation submission to demonstrate compliance with applicable federal procurement statutes regarding domestic content and trade agreement requirements.