[Name] 
 [Title] 
 [Company Name] 
 [Address 1] 
 [Address 2] 
 [City, State ZIP Code] 
 [Month DD, YYYY] 
Minnesota Housing
400 Wabasha St. N.
Suite 400
St. Paul, MN 55102
Re:	HOME/NHTF Program – Compliance with Build America, Buy America Requirements
 [Project Name] 
 [Project Address] 
 [General Contractor] 
Date of Substantial Completion:  [MM/DD/YYYY] 
Dear Minnesota Housing staff,
I hereby certify that, to the best of my knowledge and belief, all Build America, Buy America (BABA) requirements have been met on the referenced project. In addition, I hereby certify that:
	 All iron and steel products used in the project were manufactured, from initial melting through application of coatings, in the United States.
	 All construction materials were manufactured in the United States.
	 The final products of all manufactured products were manufactured in the United States and at least 55% of the cost of the products came from components that were mined, produced, or manufactured in the United States.
	 Some or all iron and steel, construction materials, and manufactured products used for the project were not produced in the United States, and the following waivers were obtained:
•	De Minimis Waiver dated  MM/DD/YYYY] 
•	Public Interest Waiver dated  [MM/DD/YYYY] 
•	Nonavailability Waiver dated  [MM/DD/YYYY] 
•	Unreasonable Cost Waiver dated  [MM/DD/YYYY] 
BABA provision language is included in project specifications/contracts.	
All products and materials needed for the project are classified as iron and steel products, construction materials, or manufactured products.	
A list of all products and materials subject to BABA requirements has been submitted to Minnesota Housing.	
Market research was conducted to identify domestically made products and materials.	
Documentation certifying that products and materials were made in the United States was collected for all products and materials.	
General or product-specific waivers were obtained for any products and materials not sourced domestically.	
Documentation for all change orders involving products and materials subject to BABA requirements has been submitted to Minnesota Housing.	
All supporting documentation for compliance with BABA requirements has been submitted to Minnesota Housing.	
Sincerely,
 [Owner/Borrower Signature] 
 [Owner/Borrower Printed Name] 
 [Owner/Borrower Title]