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U.S. Department of Agriculture
Rural Utilities Service
CERTIFICATE
With respect to compliance with the second paragraph of the Rural Electrification Act of
1938, being Title IV of the Work Relief and Public Works Appropriation Act of 1938
(Public Resolution No. 122, 75th Congress, approved June 21, 1938).
Rural Utilities Service Project
.
The undersigned, being, the
1
in a certain contract No.
dated
,
, between the undersigned
2
and
does hereby certify that in the performance of the said contract there have been used or furnished no
unmanufactured articles, materials or supplies which have not been mined or produced in the United States3 or in
any eligible country and no manufactured articles, materials or supplies which have not been manufactured in the
United States or in any eligible country substantially all from articles, materials or supplies mined, produced or
manufactured, as the case may be, in the United States or in any eligible country, except to the extent that
compliance with the second paragraph of the Rural Electrification Act of 1938, being Title IV of the Work Relief and
Public Works Appropriation Act of 1938 (Public Resolution No. 122, 75th Congress, approved June 21, 1938)
has been waived by the Administrator of the Rural Utilities Service. For purposes of this certificate, an ''eligible
country'' is any country that applies with respect to the United States an agreement ensuring reciprocal access for
United States products and services and suppliers to the markets of that country, as determined by the United States
4
Trade Representative.
By
Date
1
2
3
4
,
,20
Insert ''Contractor,'' ''Subcontractor,'' ''Seller,'' Or ''Material Supplier,'' as the case may be.
Insert the name of the RUS Borrower.
United States means United States, its territories and possessions.
A current list of eligible countries may be obtained by contacting RUS.
RUS FORM 213 (Rev. 2-04)
,
File Type | application/pdf |
File Modified | 2012-02-21 |
File Created | 2012-02-09 |