Buy American Certification Request

Project*:

City*:

State*:

Compliance Provision Requirement*:

Different statutes and regulations handle Buy American requirements differently, so, for the H.E. Williams, Inc. component parts identified, please specify the relevant legal requirements.

FAR – Federal Acquisition Regulation 48 CFR section 52.225.1 / 52.225.9 | 52.225.21 – Buy American Act

DFARS – DOD Federal Acquisition Regulation Supplement 48 CFR 252.225-7001 – Buy American and Balance of Payments Program (including qualifying countries)

FAA – DOT Federal Aviation Administration 49 U.S.C Section 50101 – Buy American

FHWA – DOT Federal Highway Administration 23 U.S.C. Section 313 - Buy American

FRA – DOT Federal Railroad Administration High Speed Rail Program 49 U.S.C. Chapters 244. 246: Section 24405 – Buy American

FTA – DOT Federal Transit Administration 49 U.S.C. Section 5323 1 or 49 C.F.R. 661 – Buy America

BABA – Build America/Buy America – OMB Memorandum M-22-11

Other Federal regulation

Regional domestic requirements

Agency, regulation, or code reference*:

State or local regulation or code reference*:

Exemptions:

Trade Agreements – FAR 52.225-5 (federal)

State or municipal government -- trade agreements

Waiver

Other

Specify State or Municipal Government Trade Agreements*:

Specify Waiver*:

Specify Other Exemption*:

Agency Contact Name*:

Agency Contact E-mail Address*:

Project Contact Name*:

Project Contact E-mail Address*:

Project Stage*:

Quote/Order/Reference Number*:

Buy American Compliance Certification Request

Compliance Provision Requirement*:

Exemptions:

Reference Number:

Bill of Materials*:

Documentation: