Attachment AB - Certification of American-Manufactured Goods.pdf
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- Solicitation number
- BPM058986
- Issued by
- Maryland
About this file
This is a Certification of American-Manufactured Goods form issued by the Maryland Department of General Services (DGS) for use in state solicitations and contracts. The form requires bidders and offerors to certify the manufacturing origin of goods offered under a solicitation or contract, specifically related to the Sand and Spring Run Subsidence Repair project (F-001-260-004). Bidders must select one of two options: certify that all offered goods are American-manufactured goods as defined in COMAR 21.11.15.04B(1), or certify that offered goods are not American-manufactured and identify which items fall under emergency life safety and property safety goods versus non-emergency goods. The certification must be executed by an authorized representative of the bidder/offeror with their signature, printed name, title, and date.
The form includes two attachments for documentation purposes. Form A requires bidders selecting Option 2 with subsection (a) to list all goods that are not American-manufactured but qualify as emergency life safety and property safety goods, with corresponding specification sections or drawing references. Form B requires listing of goods that are not American-manufactured and do not qualify as emergency life safety and property safety goods, also with specification references. Bidders may attach additional sheets as needed to accommodate all applicable goods. This certification is a mandatory compliance document for the Maryland procurement process and reflects the state's preference for American-manufactured goods in public contracting.
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Text version
ATTACHMENT AB - CERTIFICATION OF AMERICAN-MANUFACTURED GOODS
DGS SOLICITATION NO. ___________________
Instructions: Select one of the options below and fill out FORM A and/or FORM B as applicable.
CHECK BOX 1 or 2
1. Bidder/Offeror identified below certifies that the offered goods under this solicitation or contract are American-manufactured goods [as defined in COMAR 21.11.15.04B(1)] whether or not such offered goods are “emergency life safety and property safety goods”;
OR
2. Bidder/Offeror certifies that the offered goods under this solicitation or contract are not American-manufactured goods [as defined in COMAR 21.11.15.04B(1)] and:
IF OPTION 2 IS SELECTED, CHECK BOX (a) AND/OR (b)
(a) They are “emergency life safety and property safety goods” as defined in COMAR 21.11.15.04B(2). [Bidder/Offeror must list emergency life safety and property safety goods in FORM A attached to this certification];
AND/OR
(b) They are not “emergency life safety and property safety goods” as defined in COMAR 21.11.15.04B(2). [Bidder/Offeror must list non-emergency life safety and non-property safety goods in FORM B attached to this certification]
The undersigned, being an authorized representative of the Bidder/Offeror, hereby affirms that the contents of this certification are true to the best of my knowledge, information, and belief.
Bidder/Offeror
By: ________________________________________ (Signature)
(Insert name of individual executing)
(Insert title/capacity of individual)
(Date)
FORM A
LIST OF GOODS THAT ARE NOT AMERICAN-MANUFACTURED GOODS
AND
ARE EMERGENCY LIFE SAFETY AND PROPERTY SAFETY GOODS
Corresponding Specification Section / Drawing
Description
(Attach additional sheets if needed)
FORM B
LIST OF GOODS THAT ARE NOT AMERICAN-MANUFACTURED GOODS
AND
ARE NOT EMERGENCY LIFE SAFETY AND PROPERTY SAFETY GOODS
Corresponding Specification Section / Drawing
Description
(Attach additional sheets if needed)
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