BAA_Certification_10.28.2025_(D5) (1).pdf

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Attached to
Supermicro 1U rack-mount server assemblies Federal contract opportunity
Solicitation number
SLAC_368659_Supermicro_1U_Rack-mount_Server_Assemblies
Issued by
Department of Energy Office of Science

About this file

This is a Buy American Act Certification form used by the SLAC National Accelerator Laboratory for federal contract compliance.

The form requires bidders and offerors to certify whether each end product qualifies as a U.S. domestic commercial product. If the offeror answers "Yes" to this certification, they may skip to Section C and provide signature and company information. If the answer is "No," the offeror must complete Sections A, B, and C. Section A requires identification of excluded end products in accordance with FAR Part 25.104. Section B requires the offeror to certify that each end product, except those listed, is a domestic source end product as defined in Buy American Act provisions, and that no components of unknown origin have been mined, produced, or manufactured outside the United States. The offeror must also provide an estimate of the percent of foreign content for each line item, expressed as a percentage of the total purchase order or subcontract award price, with accuracy within plus or minus 5 percent being acceptable. Section C requires the offeror's signature, printed name, title, company name, and date, which make the representations and certifications part of the quotation. The form is effective as of October 28, 2025.

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Text version

BUY AMERICAN ACT CERTIFICATION (10/28/2025) PAGE 1 OF 1

SUPPLY CHAIN MANAGEMENT

BUY AMERICAN ACT CERTIFICATION

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).

Line Item No. Country of Origin Percent (%) of Foreign Content:

c. THE OFFEROR’S SIGNATURE MAKE THE ABOVE REPRESENTATIONS AND CERTIFICATIONS

PART OF THEIR QUOTATION

Offeror’s Signature: Date:

Printed Name:

Title:

Company Name:

Line Item NoRow1:
Country of OriginRow1:
Percent of Foreign ContentRow1:
Line Item NoRow2:
Country of OriginRow2:
Percent of Foreign ContentRow2:
Line Item NoRow3:
Country of OriginRow3:
Percent of Foreign ContentRow3:
Printed Name:
Company Name:
Dropdown1: [Choose One.]
Check Box3: Off
Check Box4: Off
Section A:
Date5_af_date:
Title:
No:

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