Attachment D - Maintenance_Buy_America_Report_Form~1.xlsx

XLSX spreadsheet 26 KB Posted

Attached to
OR42: MP1. 06 & MP1. 43 Culvert Replacement Rebid
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.

View the file

Other files

File Type Posted
Preliminary Results~69.xlsx XLSX spreadsheet
LandAcklnowledgArt RFQ.pdf PDF
ATT A_PLANS~1.pdf PDF
Attachment C_Bid Pricing Form R2.xlsx XLSX spreadsheet
Attachment C_Bid Pricing Form R.xlsx XLSX spreadsheet
ATT B_SPECIFICATIONS.pdf PDF
00010163 ITB~1.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Sheet1

ODOT MAINTENANCE BUY AMERICA REPORT FORM

PROJECT NAME CONTRACT NO.

GENERAL COMPONENT TYPE
(MARK APPLICABILITY TO PROJECT - Y/N)Y/NDESCRIPTION OF COMPONENTSOURCE (NAME AND ADDRESS)
1

DOUGHTON Jonathan S: Hint: To force a line return in cell, hold "Alt" key and press "Enter" key at the same time.

2
3
4
5
6
7
8
9
10
11
12
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:

Page&P of &N image1.png

File details come from the government source that posted it. Updated .