HomeMy Public PortalAboutTybee Island Buy American.pdfGEORGIA ENVIRONMENTAL FINANCE AUTHORITY
CERTIFICATION OF COMPLIANCE WITH BUY AMERICAN
Effective July 1, 2011, this form must be submitted to 4,3vtng is Of: ,�, ► and approved by GEFA prior
to any payments made to contractor. Please include the final copy with your invoice.
This must be completed by the manufacturer (one form per manufacturer). The only exception is if the product
qualifies for a waiver, which would allow for completion by the vendor.
GEFA subrecipient: City of Tybee Island
Subrecipient email address: jleviner@cityoftybee.org
GEFA subrecipient contract number: ARRA_EECBG^LocGov24I 0 135
Manufacturer Name: Florida Heat Pump
Majaufactured good(s) being used for prosect (please list)
DMA -QM!
Model
illaufacturing Location
r W : i er recei
Ex: 1.0htrngfrxlrcre
Widget LEDs item 1234
Super Heal Stuff item xya
Roanoke, VA, USA
no
Ex: Progran n+able
Thermtatat
Shanghai, China
yes (attached)
Outdoor geothermal unit
ES061-#CSN i2 units) Fort Lauderdale, FL
ES0254CSN Fort Lauderdale, FL
no
no
Outdoor geothermal unit
_Outdoor geothermal unit
Indoor geothermal unit
ECI80-#CSN Fort Lauderdale, FL
no
ES061-#AHX (units)_ Fort Lauderdale, FL
ES025 #AHX Fort Lauderdale, FL
no
no
Indoor geothermal unit
Indoor geothermal unit
F,C 180-#AHX
Fort Lauderdale, FL
no
Waiver attached
Manufacturer or vendor should include a copy of applicable product waiver(s) when sending the `Certification
of Compliance with Buy American' to subrecipient (if applicable). Waivers can be downloaded here:
ELItp:Nwww ) sere, itovlrecovarvl{sti voi 1 uttl.
Highlight the section of the waiver that pertains to your product. In the space below, provide a brief narrative
description ofthe product in order to prove it meets the requirements to qualify for a waiver,
Ex: Programmable Thermostat that permits adjustment of heating or air-conditioning operations according to a pre-set
schedule.
I . Will a waiver(s) be included with this document when sent to subrecipient?
0 Yes No ❑ N/A
233 PEACHTREE STREET, NE HARRIS TOWER, ER, SUITE 900 ° ATLANTA, GEORGIA 30303-1506 A 404-584-1000 • FAx 404-584-1069
www.gefa.org
If h:;t has no/ receiVtd 2 WIt'iVVI•,�east a1us e!' giuo:d ons below.
1. Were all of the components of the manufactured good(s) manufactured in the U.S., and were all of the
components assembled into the final production in the U.S.? 0 Yes ® No
If the answer to the above ctuestion is `ries,' please list items below.
If the answer to the above question is `no,' please Ikt the Items and answer question two and three beim,.
Some small refrigeration components such as reversing valves and electrical components are sourced from
overseas suppliers
2. Was there a change in character for use of the good or the components in the U.S.? (These questions are
asked about the finished good as a whole, not about each individual component. Vendor must answer yes to
at least one question to qualify for Buy American compliance.)
a. Was there a change in the physical and/or chemical properties or characteristics designed to alter the
functionality of the good? ❑ Yes ►:4 No
i. If yes, describe:
b. Did the manufacturing or prone ";ing operation result in a change of a product(s) with one use into a
product with a different use? L Yes E2 No
i. If yes, describe:
c. Did the manufacturing or processing operation result in the narrowing of the range of possible uses of
a multi -use product? 14 Yes ❑ No.
i. If yes: describe: Various refrigeration and electrical components are assembled to function
specifically as a water source heat pump
3. Was/were the process(es) performed in the U.S. (including but not limited to assembly) complex and
meaningful? (Vendor must answer yes to at least two questions to qualify for Buy American compliance).
a. Did the process(es) take a substantial amount of time? P1 Yes ❑ No
i. if yes, describe: Forming of piping and steel and assembly of components
b. Was/were the process(es) costly? E1 Yes ❑ No
i. If yes, describe: Processes require substantial capital equipment
e. Did the proeess(es) require a number of different operations? >5 Yes ❑ No
i. if yes, describe: Steel and copper are formed into the required shape. Tubing and refrigeration
components are brazed together. Electrical components are wired together. All components and parts are
assembled into one cabinet.
d. Did the processes require particular high level skills? *A. Yes ❑ No
i. If yes, describe: Some processes such as operation of CNC punch presses, require specific training
e. Was substantial value added in the process(es)? ►/ Yes a No
1. If yes, describe: Various components are assembled into a finished piece of HVAC equipment
Man lsfaeturitt��oerforrned in countries outside ojhe
1 understand that equipment manufactured in Mexico, Canada or any other countries with whore the U.S.
has trade agreements will not count as Buy American compliant.
Certification
CcrlificeatiOnActprer
I certify that this information i true and accurate to the best of my knowledge.
Signature: • f Date: Li/70 '2
Name:Robert Schwarzkopf
Title: Innovation Manager L
Organiration: FHP Manufacturing Company
Received & rev'e d y br ipient
Signature:* - I•C .C-L�-,r1 Date:
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Name: J er R. ,e WA r z—
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organization: �=� ,4 f U M
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Contact Jessica Robson at jEs,tiisa� e ra.ga,g or 404-584-1135 with any questions.