P03.1 52.225-2 Buy American Act Certificate.pdf
PDF 189 KB Posted
- Attached to
- 6515--Resuscitation Quality Improvement Carts
- Solicitation number
- 36C26326Q0667
About this file
This is a tailored Buy American Act Certificate form for commercially available off-the-shelf (COTS) items used in federal solicitations. The form serves as a compliance document for offerors to certify the domestic content status of products being offered.
The certificate requires offerors to identify any foreign end products that do not qualify as domestic end products, listing the line item number, country of origin, and whether each item exceeds 55 percent domestic content. For items with unknown domestic content percentages, offerors must select "no." The form includes a checkbox to indicate if requested items are made in America. Alternatively, offerors may certify that all items in the solicitation are domestically produced. The certificate must be completed and signed by an authorized representative who provides their printed name, company affiliation, and title. Additional pages may be added as needed to accommodate all line items. This template is designed specifically for non-American made COTS items and does not require line item numbers and country of origin information for items manufactured in America.
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Other files
| File | Type | Posted |
|---|---|---|
| S03 36C26326Q0667 ammended.pdf | ||
| 36C26326Q0667 0001_1.docx | DOCX document | |
| S03 36C26326Q0667.pdf | ||
| 36C26326Q0667_1.docx | DOCX document |
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Text version
52.225-2 Buy American Act Certificate (Tailored) Commercially available off-the-shelf (COTS)
Solicitation:
Procurement Name:
Location:
a) Foreign End Products:
Line item No. Country of origin Exceeds 55% domestic content (yes/no)
[List as necessary]
b) Domestic Product Certification:
I certify that all items listed in the above name solicitation are domestically produced.
Signature:
Name printed:
Company
Yes No
Yes No
Yes No
Yes No
Yes No
Add additional pages as needed.
&oPpletion ,nstrXctions $� 7Ke 2fferor sKall list as foreign end prodXcts tKose end prodXcts PanXfactXred in tKe 8nited 6tates tKat do not TXalify as doPestic end prodXcts. )or tKose foreign end prodXcts tKat do not consist ZKolly or predoPinantly of iron or steel or a coPEination of EotK� tKe 2fferor sKall also indicate ZKetKer tKese foreign end prodXcts e[ceed �� percent doPestic content. ,f tKe percentage of tKe doPestic content is XnNnoZn� select ³no´.
i� )oU�non�$meUiFan�maGe�C2T6�itemV��only�/ine�item�1o��anG�CoXntUy�oI�2UiJin�FolXmnV�aUe�neeGeG�to�Ee FompleteG�
%� ,f reTXested itePs are Pade in APerica cKecN tKis Eo[.
C� /ist naPe and position of tKe person coPpleting tKis certificate. &ertify tKis certificate ZitK a signatXre.
Title:
| Solicitation: |
| Procurement Name: |
| Location: |
| Line item NoRow1: |
| Country of originRow1: |
| Check Box1: Off |
| Line item NoRow2: |
| Country of originRow2: |
| Check Box2: Off |
| Line item NoRow3: |
| Country of originRow3: |
| Check Box3: |
| Line item NoRow4: |
| Country of originRow4: |
| Check Box4: |
| Line item NoRow5: |
| Country of originRow5: |
| Check Box5: |
| Check Box6: Off |
| Name printed: |
| Company: |
| Position: |
File details come from the government source that posted it. Updated .