Buy_American_Act_Certification.pdf

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Multi Purpose Imager
Solicitation number
SLACReq-347289
Issued by

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This document is a Buy American Act Certification that is required for a federal contract opportunity. The opportunity is for a Multi Purpose Imager at the SLAC National Accelerator Laboratory, which is operated by Stanford University for the Department of Energy.

The required items include various linear positioners, connectors, cables, sensor modules, and a control system. Pricing and lead time quotes are due by July 8, 2024. The resulting purchase order will be issued at a fixed price, with SLAC's standard commercial terms and conditions. The Buy American Act Certification and Representations & Certifications Rider are required for awards over $10,000. Subcontractors must register in the System for Award Management. Source selection will be based on lowest price and best lead time.

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BUY AMERICA ACT CERTIFICATION (REV. 08.29.2023) Page 1 of 1

SUPPLY CHAIN MANAGEMENT

BUY AMERICAN ACT CERTIFICATION

Solicitation 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).

Percent (%) of Foreign Content:

Country of Origin:

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

CERTIFICATIONS PART OF THEIR QUOTATION

Offeror’s Signature: Date:

Printed Name:

Title:

Company Name:

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