BAA_Certification_10.28.2025_(D5) (1).pdf
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- Attached to
- Precision Six Axis Hexapod Positioning System
- Solicitation number
- SLAC_367829_Precision_Six_Axis_Hexapod_Positioning_System
- Issued by
-
Department of Energy Office of Science
About this file
This is a Buy American Act Certification form required for federal contract bidding and quotations, issued by SLAC National Accelerator Laboratory dated 10/28/2025.
The certification requires bidders and offerors to confirm whether each end product qualifies as a U.S. domestic commercial product. If the bidder answers "Yes," they may skip directly to the signature section. If the answer is "No," the bidder must complete three additional sections: Section A requires identification of any excluded end products in accordance with FAR Part 25.104; Section B requires certification that all end products, except those listed, are domestic source end products with no components of unknown origin mined, produced, or manufactured outside the United States, and must include an estimated percentage of foreign content for each line item (with accuracy within plus or minus 5 percent acceptable); and Section C requires the offeror's authorized signature, printed name, title, company name, and date, which makes all representations and certifications part of the quotation. This is a template form with blank fields for completion during the bid submission process.
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Text version
BUY AMERICAN ACT CERTIFICATION (10/28/2025) PAGE 1 OF 1
SUPPLY CHAIN MANAGEMENT
BUY AMERICAN ACT CERTIFICATION
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).
Line Item No. Country of Origin Percent (%) of Foreign Content:
c. THE OFFEROR’S SIGNATURE MAKE THE ABOVE REPRESENTATIONS AND CERTIFICATIONS
PART OF THEIR QUOTATION
Offeror’s Signature: Date:
Printed Name:
Title:
Company Name:
| Line Item NoRow1: |
| Country of OriginRow1: |
| Percent of Foreign ContentRow1: |
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| Country of OriginRow2: |
| Percent of Foreign ContentRow2: |
| Line Item NoRow3: |
| Country of OriginRow3: |
| Percent of Foreign ContentRow3: |
| Printed Name: |
| Company Name: |
| Dropdown1: [Choose One.] |
| Check Box3: Off |
| Check Box4: Off |
| Section A: |
| Date5_af_date: |
| Title: |
| No: |
File details come from the government source that posted it. Updated .