Massachusetts Bay Transportation Authority
BUY AMERICA CERTIFICATE
MASSACHUSETTS BAY TRANSPORTATION AUTHORITY
(Federally-assisted Contract)
SECTION (1); Certify only for IRON, STEELt or MANUFACTURED PRODUCTS: (Mark One)
o
CERTIFICATE OF COMPLIANCE WITH SECTION 165(a). The offeror hereby
certifies that it will comply with the requirements of Section 165(a) of the Surface
Transportation Assistance Act of 1982, as amended, and the applicable regulations of 49
CFR Part 661.5;
--OR—
o
CERTIFICATE FOR NON-COMPLIANCE WITH SECTION 165(a). The offeror
hereby certifies that it cannot comply with the requirements of Section 165(a) of the Surface
Transportation Assistance Act of 1982, as amended, but it may qualify for an exception to the
requirement pursuant to Section 165(b)(2) or (b)(4) of the Surface Transportation Assistance
Act, as amended, and regulations in 49 CFR Part 661.7.
SECTION (2); Certify only for ROLLING STOCK and ASSOCIATED EQUIPMENT: (Mark One)
o
CERTIFICATE OF COMPLIANCE WITH SECTION 165(b)(3.). The offeror hereby
certifies that it will comply with the requirements of Section 165(b)(3) of the Surface
Transportation Assistance Act of 1982, as amended, and the applicable regulations of 49
CFR Part 661.11;
--OR,-
o
CERTIFICATE FOR NON-COMPLIANCE WITH SECTION 165(b)(3). The offeror
hereby certifies that it cannot comply with the requirements of Section 165(b)(3) of the
Surface Transportation Assistance Act of 1982, as amended, but it may qualify for an
exception to the requirement consistent with Section 165(b)(2) or (b)(4) of the Surface
Transportation Assistance Act, as amended, and regulations in 49 CFR Part 661.7.
SECTION (3); OFFEROR'S SIGNATURE: (Sign, date and enter your title and the name of your
company)
_______________________________________
Signature
______________________
Date
__________________________________________________________________
Title
____________________________________________________________________________
Name of Company/Offerer
MBTA
Commuter Rail Procurement
June 12, 2013
1 of 1
RFP
ITP
Appendix D – Forms
Buy America Certification
RFP No. 159-12