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

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Attached to
X-ray imaging detector system Federal contract opportunity
Solicitation number
SLAC_369006_Xray_Imaging_Detector_System
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 procurement compliance.

The form requires bidders and offerors to certify whether each end product qualifies as a U.S. domestic commercial product. If the bidder answers "Yes" to this certification, they may skip directly to Section C. If the answer is "No," the bidder must complete Sections A, B, and C. Section A requires identification of any excluded end products in accordance with FAR Part 25.104. Section B requires the bidder to certify that all end products, except those listed, are domestic source end products with no components of unknown origin mined, produced, or manufactured outside the United States. The bidder must also estimate the percent of foreign content for applicable line items, expressed as a percentage of the total purchase order or subcontract award price, with accuracy within plus or minus 5 percent acceptable. Section C requires the offeror's signature, printed name, title, company name, and date, which bind these representations and certifications as part of their 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 .