Atch 3 Berry Amendment Certificate.doc

FA7000-09-R-0012

Attachment 3

Certificate of Compliance to Berry Amendment

As prescribed at DFARS 225.7002, “Restrictions on food, clothing, fabrics, specialty metals, and hand or measuring tools” and implemented via DFARS clauses 252.225-7012, 252.225-7014, and 252.225-7015, the undersigned understands and will comply with the Defense Federal Acquisition Regulation supplemental regulations.

Furthermore, the undersigned understands that in addition to the Buy America Act, the Berry Amendment applies to both end items AND components, as well as any and all subcontracted components.

Fill-in the requirements below this certificate.

Name of Company Official Representative

Date Signed

IDENTIFICATION OF SOURCES FOR CLOTH/TEXTILE COMPONENTS

a. The offeror shall indicate below the names and addresses of those suppliers from whom each cloth or textile component item will be obtained for use in the performance of any resultant contract. In addition, for each such cloth or textile component item, the offeror shall also identify the name of the item’s manufacturer and the address of the manufacturing location. Failure to furnish this information with the offer may result in rejection of the offer.

b. No change in the supplier(s) or manufacturer(s) listed below shall be permitted between the opening/closing date of the offer and the award, except where time permits and then only upon receipt of the contracting officer’s written approval.

c. Any change in the supplier(s) or manufacturer(s) listed below, and in any resultant contract, is prohibited unless it is specifically approved in advance by the contracting officer.

Cloth/Textile Component Name/Address of Cloth/Textile Name/Address of Cloth/Textile and Quantity Supplier Manufacturer

PLACE OF PERFORMANCE

(a) The offeror or respondent, in the performance of any contract resulting from this solicitation, ( ) intends, ( ) does not intend (check applicable block) to use one or more plants or facilities located at a different address from the address of the offeror or respondent as indicated in this proposal or response to request for information.

(b) If the offeror or respondent checks “intends” in paragraph (a) of this provision, it shall insert in the following spaces the required information:

Place of Performance(Street Address, City, State, County, Zip Code)

Name and Address of Owner and Operator of the Plant or Facility if Other Than Offeror or Respondent