D5-BAA Certification-356771.pdf

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Optical parametric oscillator (OPO)
Solicitation number
Req-356771
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The document is a Buy American Act Certification form for a federal contract opportunity (Solicitation Number 356771) issued by SLAC National Accelerator Laboratory. The certification requires the bidder/offeror to confirm that the end product is a U.S. domestic commercial product, with the option to disclose foreign content percentage and country of origin if applicable. In this specific instance, the offeror has indicated 0.00% foreign content, suggesting a fully domestic product. The form is part of a solicitation for an optical parametric oscillator (OPO) with specific technical requirements, including wavelength tuning range of 3000-3450 nm, 20 Hz repetition rate, and the ability to fire single shots on demand. The procurement is associated with the Department of Energy Office of Science and will be awarded using the Lowest Price Technically Acceptable method.

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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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