Attachment 4: Request for Proposals FAR Provision 52.225-2 Buy American Certificate Fillable

895350186181DEPARTMENT OF VETERANS AFFAIRS (VA)

VA’S ETMPM-TENS Procurement Program
Solicitation Number 36C79126R0011

FAR Provision 52.225-2, Buy American Certificate.
Instructions to Offerors: Attachment 0004, FAR Provision 52.2252, Buy American Certificate, is a mandatory submission for all Offerors eligible for evaluation and award consideration within Tiers 1 through 3 and represented as Small Business concerns under NAICS Code 334510. Attachment 0004 is a fillable WORD document that must be completed by the Offeror, converted to a PDF document, digitally signed, and submitted with the proposal package. Submission of a properly completed Attachment 0004, FAR Provision 52.2252, Buy American Certificate is a material proposal submission requirement for all Offerors seeking eligibility for evaluation and award consideration within Tiers 1 through 3 and represented as Small Business concerns under NAICS Code 334510. Any proposal package submitted by an Offeror seeking eligibility for evaluation and award consideration within Tiers 1 through 3 and represented as a Small Business concern under NAICS Code 334510 that does not include a fully completed, signed, and dated Attachment 0004 may be determined ineligible for award consideration within Tiers 1 through 3. Note: Attachment 0004 is revised to clarify the Government's treatment of Commercially Available Off-The-Shelf (COTS) items under FAR Part 25, clarify domestic-end-product certification requirements applicable to CLINs X001 through X004 and their associated subordinate SLINs, and remove potential ambiguities regarding domestic-content reporting requirements. Complete Attachment 0004 as follows: General Completion Requirements: Offerors must complete the fillable WORD document in its entirety prior to converting the document into a PDF format: Check marks must be placed in all provided boxes where the Offeror is required to certify or indicate responses.

All fillin fields requiring Offeror information, including company details, product listings, countryoforigin data, critical component status, and domestic content percentages, must be completed.

The form must include a valid digital signature of an authorized representative of the Offeror. The date signed must be entered in the space provided.

All content must be truthful, complete, and consistent with the Offeror's active SAM.gov representations and certifications and SAM.gov registration information. Required Offeror Representations & Certifying Selections: Attachment 0004 requires multiple certifications relating to compliance with the Buy American Act. Offerors must complete each applicable table and listing as follows: