BAA Certification.pdf

PDF 92 KB Posted Sep 18, 2020

Attached to: pumps and controllers
Solicitation number: SLAC313173
Issued by: Department of Energy Office of Science

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SUPPLY CHAIN MANAGEMENT

BUY AMERICAN ACT CERTIFICATION

The

bidder/offeror

hereby

certifies

that

each

end

product

qualifies

U.S.

domestic

commercial

item.

Yes

If the answer above is no, fill out the below information.

The

bidder/offeror

hereby

certifies

that

each

end

product,

except

the

end

products

listed

below,

domestic

source

end

product

(as

defined

the

provision

entitled

Buy

American

Act);

and

that

components

unknown

origin

have

been

mined,

produced,

manufactured

outside

the

United

States.

Excluded	end	products	in	accordance	with	FAR	Part	25.104	____________________________
Country	of	Origin		________________________________

The

bidder/offeror

will

represent

(as

estimate),

herein,

before

the

award

purchase

order

subcontract,

the

percent

the

foreign

content

the

item

service

being

procured

expressed

percent

the

purchase

order/subcontract

award

price

(accuracy

within

plus

minus

percent

acceptable).

Percent

Foreign

Content:

______________________.

THE OFFEROR’S SIGNATURE MAKE THE ABOVE REPRESENTATIONS AND CERTIFICATIONS PART OF THEIR

QUOTATION

Offeror’s Signature: Date:

Printed Name:

Company Name:

SLAC NATIONAL ACCELERATOR LABORATORY • 2575 SAND HILL ROAD • MENLO PARK • CALIFORNIA • 94025 • USA Operated by Stanford University for the U.S. Department of Energy

BAA CERTIFICATION (REV 04/07/2017) SLAC-SCM PAGE 1 OF 1

The bidderofferor hereby certifies that each end product qualifies as a US domestic commercial item: Off

No: Off

Country of Origin:

Excluded end products:

Percent of Foreign Content:

Name:

Legal Company Name:

Date:

File details come from the government source that posted it. Updated Sep 18, 2020.