D5-BAA Certification-356263.pdf
PDF 576 KB Posted
- Attached to
- Custom Valve : METAL VALVE, GATE, 2. 5”
- Solicitation number
- Req-356263
- Issued by
-
Department of Energy Office of Science
About this file
The document is a Buy America Act Certification form for Solicitation Number 356263 issued by SLAC National Accelerator Laboratory. The certification requires bidders to confirm whether their end product qualifies as a U.S. domestic commercial product, with a requirement to disclose the percentage of foreign content if applicable. In this specific case, the offeror has indicated 0.00% foreign content, suggesting a fully domestic product.
The certification is part of a solicitation for a custom metal gate valve (2.5" DN) with specific technical requirements, including a stainless steel body, pneumatic actuator with position indicator, and solenoid valve. The procurement is for the Department of Energy's SLAC National Accelerator Laboratory, with award to be made using the Lowest Price Technically Acceptable method and considering lead time. Vendors must be registered in the System for Award Management (SAM) to be eligible, with payment terms of Net 30 days and freight terms of FOB Destination Prepaid and Add.
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Text version
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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| Text7: 356263 |
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