Sample - BABA Compliant Form.docx

This is a Build America, Buy America (BABA) Act compliance certification form for a Kentucky state and local contract opportunity involving LED Modules. The form serves as a declaration by a company representative certifying that all manufacturing and fabrication processes—including melting, bending, coating, galvanizing, and cutting operations—for specified products and materials meet the requirements mandated by the Build America, Buy America Act as outlined in the Infrastructure Investment and Jobs Act (IIJA), Public Law No. 117-58, Section 70901-27. The form requires identification of specific items, products, and materials being supplied for the project, as well as documentation of the location where the required compliance processes took place.

The certification obligates the supplier to immediately notify both the prime contractor and engineer of any changes to the compliance statements during the course of material provision. This form is a prerequisite documentation requirement ensuring that all goods supplied to the project meet federal domestic content standards and are manufactured in accordance with applicable BABA Act provisions.