BAA_Certification.pdf
PDF 570 KB Posted
- Attached to
- Al and Au Samples
- Solicitation number
- Req-355710
- Issued by
-
Department of Energy Office of Science
About this file
The document is a Buy America Act Certification form from SLAC National Accelerator Laboratory for a solicitation related to silicon nitride membrane samples. The certification requires vendors to declare whether their end products qualify as U.S. domestic commercial products, with options to specify foreign content percentage and country of origin if applicable. Vendors must certify that components have not been mined, produced, or manufactured outside the United States, with a requirement for accuracy within plus or minus 5 percent of the total purchase order/subcontract award price.
The associated solicitation (Req-355710) seeks Al and Au coated silicon nitride membrane samples with specific technical requirements, including precise wafer sizes, membrane dimensions, and coating specifications. The procurement is for two different membrane configurations: one with a 38.1 mm x 30.0 mm frame and 22 x 17 array, and another with a 76.2 mm x 30.0 mm frame and 24 x 9 array. The award will be made using the Lowest Price Technically Acceptable method, with vendors required to be registered in the System for Award Management (SAM) and comply with SLAC National Accelerator Laboratory's terms and conditions.
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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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