BAA_Certification 351686.pdf

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Set of broadband high-power mirrors on silicon substrates
Solicitation number
Req-351686
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This document is a Buy America Act Certification form related to a federal contract opportunity.

The federal contract opportunity is for SLAC National Accelerator Laboratory to procure a set of broadband high-power mirrors on silicon substrates with enhanced silver coating optimized for high reflectivity in the 650-1250 nm spectral range. The required quantities and specifications for the plano-concave and plane silicon substrate mirrors are detailed. The solicitation also includes a customization service to manufacture and coat the substrates. Offerors must be registered in the System for Award Management (SAM) and the purchase order will be subject to SLAC's Terms and Conditions for Fixed Price Commercial Supplies and Services. The Buy America Act Certification form requires the offeror to certify whether the end products qualify as U.S. domestic commercial products and to provide information on the percentage and country of origin of any foreign content.

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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:

Check Box1:
0: Off
1: Off
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Date1:
Text7: 351686

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