Attachment 4 Country of Origin (COO) Request Form Solicitation 1232SA26Q0806.pdf

This is a Country of Origin Request form for federal contract solicitation 1232SA26Q00806. The form requires bidders to supply and deliver one (1) Locomotion Compensator, Insect Behavior Monitoring System, and to provide detailed information about the product's origin and compliance status.

Bidders must complete a table with up to four product entries, identifying the Brand & Model, Country of Origin, and Country of Final Assembly for each item. For each product listed, bidders must indicate compliance with the Buy American Act (BAA) and Trade Agreements Act (TAA) by checking either "Y" (Yes) or "N" (No). The form also requires an authorized representative to provide their name, title, signature, and date of completion. This attachment is a template form designed to collect country-of-origin documentation and trade compliance certifications from prospective contractors.