BAA_Certification_08.29.2023.pdf
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- Solicitation number
- 359676(MC)
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Buy American Act Certification form from the National Accelerator Laboratory's Supply Chain Management department. The form requires bidders/offerors to certify whether their end products qualify as U.S. domestic commercial products. If products do not fully qualify as domestic, vendors must disclose the percentage of foreign content and country of origin, with an acceptable accuracy range of plus or minus 5 percent. The certification asks vendors to confirm that no components of unknown origin have been mined, produced, or manufactured outside the United States, and requires an authorized company representative to sign and validate these representations as part of their quotation submission.
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| FPSS_Terms_and_Conditions_Aug2023.pdf |
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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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