BAA_Certification_08.29.2023.pdf
PDF 570 KB Posted
- Attached to
- Split-Delay Line Flat Mirror
- Solicitation number
- 0000351566
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Buy America Act Certification form. The key details are:
The solicitation requires that the end products be U.S. domestic commercial products. If the products are not wholly domestic, the offeror must provide details on the percentage of foreign content and the country of origin. The offeror must certify that no components of unknown origin have been used. The offeror's signature makes these representations and certifications part of their quotation.
The related federal contract opportunity is for SLAC National Accelerator Laboratory to acquire 3 flat mirrors for a delay line, per Engineering Specification LCLS-ES-018. The solicitation is using a Lowest Price Technically Acceptable method. Offerors must be registered in SAM and the resulting purchase order will be subject to SLAC's commercial terms and conditions. Proprietary information must be properly marked. Pricing, delivery, and technical compliance are required in the response.
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| Drawing Package.zip | ZIP file |
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Text version
BUY AMERICA ACT CERTIFICATION (REV. 08.29.2023) 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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