BAA_Certification_04.03.2023.pdf
PDF 666 KB Posted
- Attached to
- Liquid Nitrogen (LN2) Generator
- Solicitation number
- 0000337992
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Buy American Act certification form related to solicitation 0000337992 for a liquid nitrogen generator issued by the Department of Energy Office of Science. The form requires the bidder to certify that all end products qualify as U.S. domestic commercial products or to list any excluded non-domestic end products and their country of origin as well as provide an estimate of the foreign content percentage of the total award price. By signing the form, the certification and representations would become part of the bidder's quotation. The solicitation is for a liquid nitrogen generator to be awarded by the Department of Energy Office of Science.
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| File | Type | Posted |
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| FPSS_Terms_and_Conditions_March_2023.pdf |
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BUY AMERICA ACT CERTIFICATION (REV. 04/03/2023) Page 1 of 1
SUPPLY CHAIN MANAGEMENT
BUY AMERICAN ACT CERTIFICATION
Solicitation Number
The bidder/offeror hereby certifies that each end product qualifies as a U.S. domestic commercial product.
Yes No
If the answer above is Yes, skip to Section (C). If the answer above is No, fill out Sections (A), (B) and
(C) Below:
A. Excluded end products, in accordance with FAR Part 25.104. (Mark "N/A" if not-applicable)
B. The bidder/offeror hereby certifies that each end product, except the end products listed below, is a domestic source end product (as defined in the Buy American Act provisions); and that NO components of unknown origin have been mined, produced, or manufactured outside the United States.
The bidder/offeror will represent (as an estimate), herein, before the award of a purchase order or subcontract, the percent of the foreign content of the item or service being procured expressed as a percent of the total purchase order/subcontract award price (accuracy within plus or minus 5 percent is acceptable).
Percent (%) of Foreign Content:
Country of Origin:
c. THE OFFEROR’S SIGNATURE MAKE THE ABOVE REPRESENTATIONS AND
CERTIFICATIONS PART OF THEIR QUOTATION
Offeror’s Signature: Date:
Printed Name:
Title:
Company Name:
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