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

895350186181DEPARTMENT OF VETERANS AFFAIRS (VA)

VA’S FY26 ETMPM-TENS Procurement Program Recompete
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, it’s a fillable PDF document that each Offeror must fully complete, sign, and submit with its proposal package. Submission of a properly completed certificate is a material condition of responsiveness. Any proposal that does not include a fully completed, signed, and dated Attachment 0005 will be considered nonresponsive and eliminated from further consideration. Complete Attachment 0004 as follows: General Completion Requirements: Offerors must complete the fillable PDF in its entirety. The following actions are required: 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 FAR 52.2123 Offeror Representations and Certifications and SAM.gov registration information. Required Offeror Representations & Certifying Selections: Attachment 0006 requires multiple certifications relating to compliance with the Buy American Act. Offerors must complete each applicable table and listing as follows: Domestic End Product Certification: Offerors must certify that each end product offered (unless separately listed as foreign) is a domestic end product, including identification of any critical components.

Listing of Foreign End Products: Offerors must fill out the “Foreign End Products” table by listing: Contract Line Item Number (CLIN) or SubLine Item Number (SLIN) Country of origin
Whether the product contains more than 55% domestic content (“Yes/No”) Listing of Domestic End Products Containing Critical Components: A Critical component is defined as: A component that is mined, produced, or manufactured in the United States and identified as critical to the U.S. supply chain, based on the list maintained at FAR 25.105. For goods not consisting wholly or predominantly of iron or steel, a Domestic End Product is defined as: An unmanufactured end item mined or produced in the United States; or A manufactured end item in the United States, where the cost of its U.S.-origin components exceeds 65% of all component costs. Offerors must separately identify domestic end products containing critical components, using the fillable table provided: