BAA_Certification.pdf

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Turbo Pump for Single Particle Imaging Chamber
Solicitation number
Req-352095
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This is a Buy American Act Certification form from SLAC National Accelerator Laboratory's Supply Chain Management department, dated August 29, 2023. The form requires bidders/offerors to certify whether their end products qualify as U.S. domestic commercial products.

The form includes sections for excluded end products (per FAR Part 25.104), certification of domestic source end products, and declaration of foreign content percentage (with ±5% accuracy permitted). If any products are not U.S. domestic, bidders must specify the percentage of foreign content and country of origin. The form is associated with a solicitation for a Turbo Pump for Single Particle Imaging Chamber (Solicitation Number Req-352095), requiring completion by potential suppliers to certify compliance with Buy American Act provisions before contract award.

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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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File details come from the government source that posted it. Updated .