Buy_America_Compliance_Form_(DUE_WITH_BID).pdf
PDF 92 KB Posted
- Attached to
- BID-PW - Folwell Safe Routes to School
- Solicitation number
- 0000004339
- Issued by
- Hennepin County, Minnesota
About this file
This is a Buy America Compliance Form related to the South-Folwell Safe Routes to School project in Minnesota. The form serves as a certification document for bidders and offerors participating in this state and local contract opportunity. Bidders must complete and submit the form with their bids, selecting either a Certificate of Compliance or Certificate of Non-Compliance option. The compliance certificate indicates that the bidder commits to meeting the requirements of 49 U.S.C. 5323(j)(1) and the applicable regulations outlined in 49 CFR Part 661. Alternatively, the non-compliance certificate allows bidders to certify that they cannot meet these requirements but may qualify for an exception under 49 U.S.C. 5323(j)(2) and 49 CFR 661.7.
The form requires bidders to provide their signature, company name, signatory name, and title along with the submission date. This Buy America compliance requirement is a standard provision for federally-funded transportation projects and ensures that materials and products used in the project meet domestic content standards. Bidders must carefully review the applicable regulations and determine their compliance status before submitting their bid response, as this certification is a mandatory component of the bid package.
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Text version
Certificate of Compliance with Buy America Requirements
The bidder or offeror hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1), and the applicable regulations in 49 CFR Part 661.
Date:
Signature:
Company:
Name:
Title:
Certificate of Non-Compliance with Buy America Requirements
The bidder or offeror hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j), but it may qualify for an exception to the requirement pursuant to 49 U.S.C. 5323(j)(2), as amended, and the applicable regulations in 49 CFR 661.7
Date:
Signature:
Company:
Name:
Title:
| Certificate of Compliance with Buy America Requirements |
| Certificate of Non-Compliance with Buy America Requirements |
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