BAA Certification.pdf
PDF 92 KB Posted
- Attached to
- RS2000 Table Top and Rigid Posts Legs System
- Solicitation number
- SLAC316084
- Issued by
-
Department of Energy Office of Science
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Text version
SUPPLY CHAIN MANAGEMENT
BUY AMERICAN ACT CERTIFICATION
| The | bidder/offeror | hereby | certifies | that | each | end | product | qualifies | as | a | U.S. | domestic | commercial | item. |
| Yes | No |
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, | is | a | domestic | source | |
| end | product | (as | defined | in | the | provision | entitled | Buy | American | Act); | and | that | NO | components | of | unknown | origin | have |
| been | mined, | produced, | or | manufactured | outside | the | United | States. |
| Excluded | end | products | in | accordance | with | FAR | Part | 25.104 | ____________________________ |
| Country | of | Origin | ________________________________ |
| 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 | purchase | order/subcontract | award | price | (accuracy | within | plus | or | minus | 5 | percent | is | ||
| acceptable). | Percent | of | 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: |
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