Attachment D - Maintenance_Buy_America_Report_Form~1.xlsx
XLSX spreadsheet 26 KB Posted
- Solicitation number
- S-73000-00010163
- Issued by
- Columbia County, Oregon
About this file
This document is an Attachment D - Maintenance Buy America Report Form for the OR42: MP1.06 & MP1.43 Culvert Replacement Rebid project in Oregon. The form requires an authorized representative to certify that all iron, steel, coatings for iron and steel, and manufactured products purchased for or used in the project, and that become part of a permanent structure, must be produced in the United States. Manufacturers' certificates verifying the origin of the domestic materials must be kept on file for three years following final payment. The project involves providing work zone traffic control, constructing temporary water management facilities, removing existing culverts and other drainage facilities, furnishing and installing new culverts, constructing sloped end sections and paved culvert end slopes, constructing inlets, removing and reinstalling existing guardrail, furnishing and installing culvert drainage markers, and performing additional incidental work.
The document does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or other salient information beyond the Buy America certification requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| Preliminary Results~69.xlsx | XLSX spreadsheet | |
| LandAcklnowledgArt RFQ.pdf | ||
| ATT A_PLANS~1.pdf | ||
| Attachment C_Bid Pricing Form R2.xlsx | XLSX spreadsheet | |
| Attachment C_Bid Pricing Form R.xlsx | XLSX spreadsheet | |
| ATT B_SPECIFICATIONS.pdf | ||
| 00010163 ITB~1.docx | DOCX document |
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Text version
Sheet1
ODOT MAINTENANCE BUY AMERICA REPORT FORM
PROJECT NAME CONTRACT NO.
| GENERAL COMPONENT TYPE | ||||
| (MARK APPLICABILITY TO PROJECT - Y/N) | Y/N | DESCRIPTION OF COMPONENT | SOURCE (NAME AND ADDRESS) | |
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| This certification is made for the purpose of establishing materials acceptance under the Agreement (see Section 5, State Buy America Compliance, and Exhibit 6, Supplemental General Conditions). All iron, steel, coatings for iron and steel, and Manufactured Products, purchased for or used in the project, and that become part of a permanent structure, must be Produced in the United States. |
| Manufacturers' certificates verifying the origin of the above described domestic materials will be kept on file for three years following final payment. Copies will be furnished to the Contract Project Manager upon request. |
| I declare under penalty of perjury or falsification under Oregon and Federal laws that the foregoing is true and correct. |
AUTHORIZED REPRESENTATIVE COMPANY NAME AND ADDRESS
| NAME: |
| TITLE: |
| SIGNATURE: |
| DATE: |
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