This contract between Brookhaven Science Associates, LLC (BSA) and an unnamed contractor outlines the provision of specific Bluefor items, including DC and RF installation sets, twisted wire pairs, shielding, and coaxial lines. The contract, number 467962, is a Firm Fixed Price agreement with a TBD overall value. All deliverables are due 14 weeks from the date of execution. Payment will be made upon receipt and approval of invoices, following a milestone schedule. Detailed instructions for labeling, packing, and shipping, including specific requirements for heavy, foreign, or radioactive shipments, are provided. Mark Brock is BSA's Contractual Representative.
This government form, AMS-FORM-050, is an Annual Representations & Certifications document for Offerors providing goods or services to Brookhaven National Laboratory (BNL/BSA) in support of U.S. Government (USG) contracts. It streamlines the collection of registration data, representations, and certifications. All Offerors must complete business information and an authorized signature. Small Business Offerors have additional sections to complete, including detailed small business program representations, certifications regarding various small business subcategories (e.g., women-owned, veteran-owned, HUBZone), and definitions of these categories. Offerors supporting USG contracts must also provide additional certifications related to lobbying, executive compensation, responsibility matters (debarment, convictions, delinquent taxes), reporting on Federal Contracts and Grants, previous contract compliance, affirmative action, and government property, as well as Buy American certifications. The form emphasizes the legal ramifications of misrepresentation.
This document is a Quotation Pricing Sheet for Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC, under contract to the U.S. Department of Energy. It is referenced as BSA Request for Quotation No. 467962 for "Bluefors System Wires or equivalent." The form outlines the structure for vendors to submit their pricing, including a total price for the receipt of all items, a firm price duration, and terms for delivery and payment (FOB Destination or DAP, Net 10 or 30 Days). Vendors must also provide their place of manufacture. By signing the sheet, firms acknowledge and agree to BSA's requirements, terms and conditions, and delivery schedule. The document includes fields for company information, signature, address, typed name, title, telephone number, and date of submission.
The Vendor ACH Authorization Form, managed by Brookhaven Science Associates, LLC under contract with the U.S. Department of Energy, facilitates electronic payments to vendors. This form requires vendors to provide their company name, vendor number (if applicable), and Tax ID Number. It also collects depository information, including the financial institution, routing/transit/ABA number, and checking account number. By completing this form, vendors authorize Brookhaven National Laboratory/Brookhaven Science Associates to initiate ACH credit and correcting entries to their specified account. This authorization remains active until written notification of termination or modification is received by BNL/BSA. The form also requires an authorized representative's signature, date, email, and phone number, ensuring a clear and official record for electronic payment processing.
Form W-9 (March 2024 revision) is a crucial Internal Revenue Service document used by U.S. persons to provide their Taxpayer Identification Number (TIN) to entities required to file information returns with the IRS. It ensures accurate reporting of income and other reportable amounts, preventing backup withholding. The form includes sections for entity/individual name, business name, federal tax classification (with specific guidance for LLCs and disregarded entities), and exemption codes for backup withholding and FATCA reporting. Key updates in this revision clarify disregarded entity classification and introduce a new line (3b) for flow-through entities to report foreign partners, owners, or beneficiaries. The document outlines penalties for non-compliance and provides detailed instructions for completing each section, including how to obtain a TIN and certification requirements.
Form W-8BEN-E (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. This form is crucial for federal government RFPs, grants, and state/local RFPs where foreign entities are involved, ensuring proper tax compliance. It helps determine the correct tax withholding rates, especially for those claiming tax treaty benefits or specific FATCA statuses. The form requires identification of the beneficial owner, including their country of incorporation, entity type (Chapter 3 Status), and FATCA status (Chapter 4 Status). It also provides sections for disregarded entities, claims of tax treaty benefits, and various certifications for specific foreign financial institutions (FFIs) and non-financial foreign entities (NFFEs). This ensures the entity is properly classified for U.S. tax purposes, preventing incorrect withholding and facilitating compliance with international tax agreements.
Brookhaven Science Associates (BSA), managing Brookhaven National Laboratory for the U.S. Department of Energy, has issued Request for Quotation (RFQ) Number 467962 for Bluefors System Wires and Flanges. This is a full and open competition, soliciting commercial products under NAICS Code 335931 with a size standard of 600 employees. Quotes are due by February 9, 2026, at 1600 EST, with questions due by January 26, 2026. BSA will award to the lowest-priced, technically compliant, responsive, and responsible offeror. The contract type is Firm-Fixed Price with Net 30 payment terms. Offerors must provide detailed specifications for proposed products, especially for alternates, and ensure their SAM registration is current. Foreign vendors not registered in SAM must complete AMS-Form-050. The procurement is subject to the Buy American Act, requiring disclosure of the country of manufacture for foreign end products. Quotations, including a signed Quotation Pricing Sheet (Enclosure C), must be submitted via email to Mark Brock at mbrock@bnl.com.