This contract between Brookhaven Science Associates (BSA) and a contractor outlines the assembly, testing, and commissioning of Pilatus4 S 2M CdTe modules with upgraded speed to 450 Hz at the XPD beamline of NSLS-II at Brookhaven National Laboratory. The contractor is responsible for providing an operating manual, maintenance procedures, a parts list, and data files. The contract is a firm-fixed-price agreement, with payment structured around milestones such as approval of the manufacturing program plan, acceptance of modules and documentation, and successful commissioning. Detailed instructions for invoicing, freight, labeling, packing, and delivery notifications are provided, including specific requirements for heavy or foreign shipments and the prohibition of vermiculite as a packing material. BSA's technical and contractual representatives are identified, and the contract incorporates BSA's General and Supplemental Terms and Conditions for Commercial Items and Services.
The "ANNUAL REPRESENTATIONS & CERTIFICATIONS (AMS-FORM-050)" form is a critical document for offerors seeking to provide goods or services to Brookhaven National Laboratory (BNL/BSA) in support of U.S. Government (USG) contracts. It streamlines the collection of required registration data and certifications from offerors. All offerors must complete Section A.1 (Business Information) and Section C (Authorized Signature). Small Business Offerors have additional requirements in Section A.2, including detailed small business program representations and certifications related to various subcategories like Woman-Owned, Veteran-Owned, HUBZone, and Small Disadvantaged Businesses. Offerors supporting USG contracts must also complete Section B, which includes certifications regarding payments to influence federal transactions, reporting executive compensation, responsibility matters (debarment, convictions, delinquent taxes), and compliance with equal opportunity and affirmative action programs. The form emphasizes the accuracy of information and outlines penalties for misrepresentation, highlighting its importance for federal contracting compliance.
Brookhaven National Laboratory (BNL), managed by Brookhaven Science Associates, LLC (BSA), issued Request for Quotation No. 472150 for PILATUS4 S 2M CdTe 450Hz modules. This document is a Quotation Pricing Sheet for vendors to submit their pricing in response to the solicitation. It outlines three key milestones for payment: BSA approval of the manufacturing program plan and acceptance of documentation, receipt and BSA acceptance of the modules and all data, and commissioning of the modules at BNL. The form requires the vendor to provide their quotation number and date, firm price duration, place of manufacture, and delivery and payment terms (Delivered at Place, Net 30 or 10 Days). By signing, the vendor acknowledges and agrees to BSA's requirements, terms, conditions, and delivery schedule. The document includes fields for company details, signature, typed name, title, telephone number, and date.
The document is a Subcontracting Plan Waiver (Form No. AMS-Form-001, Revision No. 6) from Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC. Approved on November 14, 2023, by Paul Pierson, PPM Manager, the waiver addresses Public Law 95-507, which mandates Small Business Subcontracting Plans for negotiated contracts exceeding $750,000 or construction contracts over $1,500,000. This specific waiver pertains to proposed Contract No. 459051, for the delivery of Pilatus4. The contractor is exempt from submitting a subcontracting plan because either the contract will be performed entirely outside the United States, its possessions, territories, the District of Columbia, and Puerto Rico, or the contractor has certified that no subcontracting will be conducted under this contract. The document includes sections for contractor certification, a determination by the Buyer/Contract Specialist/Manager, and approval by the Small Business Liaison Administrator, concluding that the Small Business Subcontracting Plan is not applicable to this procurement.
The Vendor ACH Authorization Form, managed by Brookhaven Science Associates, LLC under contract with the U.S. Department of Energy, is used to authorize electronic payments. Vendors provide their company name, vendor number, and Tax ID. They also supply depository information, including the financial institution, routing/transit/ABA number, and checking account number. By signing, the authorized representative authorizes Brookhaven National Laboratory/Brookhaven Science Associates to make ACH credit and correcting entries to the specified account. This authorization remains active until written notification of termination or modification is received, adhering to NACHA law. The form also collects the authorized representative's email and phone number.
Form W-9 (Rev. March 2024) is a critical IRS document used by U.S. persons to provide their correct Taxpayer Identification Number (TIN) to entities (requesters) obligated to file information returns with the IRS. This form ensures accurate reporting of income, such as interest, dividends, and nonemployee compensation, preventing backup withholding. Key updates include clarifications for disregarded entities and a new line (3b) for flow-through entities to report foreign partners, owners, or beneficiaries. The form details various federal tax classifications, exemption codes for backup withholding and FATCA reporting, and instructions for individuals and various business structures. It also outlines penalties for providing incorrect or false information and advises on protecting against identity theft. The purpose is to establish U.S. status and provide necessary tax identification for proper IRS reporting and compliance.
Form W-8BEN-E (Rev. October 2021) is an Internal Revenue Service document used by foreign entities to certify their status as beneficial owners for U.S. tax withholding and reporting purposes. It is not for individuals (who use Form W-8BEN) or U.S. entities (who use Form W-9), nor for those claiming income effectively connected with a U.S. trade or business (who use Form W-8ECI). The form requires identification of the beneficial owner, including their name, country of incorporation, and Chapter 3 and Chapter 4 (FATCA) statuses. It also includes sections for claiming tax treaty benefits, declaring various deemed-compliant FFI statuses, and certifying as different types of non-financial foreign entities (NFFEs). The form mandates certifications regarding the entity's financial and operational characteristics, and for passive NFFEs, details about substantial U.S. owners. The document concludes with a perjury statement for the authorized signatory.
Brookhaven Science Associates (BSA), operator of Brookhaven National Laboratory for the U.S. Department of Energy, has issued Combined Synopsis/Request for Quote (RFQ) Number 472150 for the procurement of a Pilatus4 S 2M CdTe 450 Hz. The solicitation is for commercial products, with quotes requested by December 19, 2025, no later than 4:00 PM EST. The contract type is Firm-fixed Price, and the anticipated delivery date is May 22, 2026. Offerors must provide a commercially available product meeting performance specifications, have previous experience manufacturing pixel array detectors, and provide three references. Award will be made to the responsive and responsible offeror with the lowest total price that meets all technical requirements. All offerors, except foreign vendors, must be registered in the System for Award Management (SAM). Small business subcontracting plans are required for large businesses expecting to exceed $900,000, or a waiver must be submitted.