Sample - BABA Compliant Form.docx

DOCX document 14 KB Posted

Attached to
Isolators - FHWA Eligible
Solicitation number
RFB 605 2600000386 2
Issued by
Elliott County, Kentucky

About this file

This is a Build America, Buy America (BABA) Act compliance certification form required under the Infrastructure Investment and Jobs Act (IIJA), Public Law 117-58, Section 70901-27. The form serves as a step certification document that suppliers and manufacturers must complete to verify compliance with federal Buy American requirements for projects receiving federal infrastructure funding. The certification requires a company representative to attest that specific manufacturing and fabrication processes—including melting, bending, coating, galvanizing, cutting, and similar operations—for designated products and materials comply with BABA Act mandates. The form requires identification of all items, products, and materials being supplied, documentation of the location where manufacturing or fabrication processes occurred, and commitment to immediately notify the prime contractor and project engineer of any changes to compliance status during project performance.

The form is a standardized template document with blank fields for companies to insert project identification numbers, specific process types, product listings, and manufacturing locations. There are no pricing terms, set-asides, incumbent information, or funding amounts specified in this template document, as it functions as a compliance verification tool rather than a procurement notice or contract vehicle. This certification requirement applies to all suppliers and manufacturers providing materials or products to federally-funded infrastructure projects, ensuring domestic sourcing and manufacturing compliance with congressional Buy American mandates.

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Text version

Company letterhead

Date

Company Name Company Address City, State Zip

Subject: Build America, Buy America Act Step Certification for Project (XXXXXXXXXX)

I, (company representative), certify the (melting, bending, coating, galvanizing, cutting, etc.) process for (manufacturing or fabricating) the following products and/or materials shipped or provided for the subject project is in full compliance with the Build America, Buy America (BABA) Act requirement as mandated in the Infrastructure Investment and Jobs Act (IIJA) Pub. L. No. 117-58, §§ 70901-27.

Item, Products and/or Materials:

1. XXXX

2. XXXX

3. XXXX

Such process took place at the following location: .

If any of the above compliance statements change while providing material to this project, we will immediately notify the prime contractor and the engineer.

Signed by company representative

File details come from the government source that posted it. Updated .