Confocal Super Resolution Microscope

Contract / Statement of Work (SOW)

This document outlines the contract between Brookhaven Science Associates (BSA) and a contractor for the provision of one Super Resolution/Confocal Optical Microscope (SRM). It details the scope of work, period of performance, payment terms, and various requirements for the procurement and delivery of the SRM.

• SRM System: Procurement of an advanced, fully integrated confocal and super-resolution (STED) microscopy system with fluorescence lifetime imaging (FLIM/FCS) functionality.

• Capabilities: The system must combine confocal, FLIM, and STED modalities, offer tunable excitation (450-780 nm) and detection (400-850 nm), support live-cell imaging, and provide super-resolution imaging (~30 nm lateral resolution).

• Deliverables: Includes a Program Plan, Technical and Progress Teleconferences, Performance Reports, Preliminary and Final Technical Designs, Equipment Footprint and Laboratory Requirements, Manufacturing/Inspection/Test Plan, Installation Work Plan, Factory Acceptance Testing, Delivery of the Instrument, Site Acceptance Test and Commissioning Report, and Training.

• Documentation: Comprehensive documentation package including Acceptance Test Reports, manuals, manufacturing data, and specifications.

• Contract Type: Firm Fixed Price.

• Period of Performance: To be determined (TBD).

• Payment: Milestone-based payments upon receipt and approval of certified invoices.

• Freight Terms: FOB BSA National Laboratory.

• Technical Specifications: Work must adhere to BSA Attachment A Statement of Work dated 16 March 2026 and Specification No. 1 dated 13 April 2026.

• Acceptance: Final acceptance contingent on BSA data review and written approval.

Not specified in this document.

• The contract incorporates Brookhaven Science Associates General Terms and Conditions for Commercial Items and Services, and Non-Commercial Items.
• Detailed shipping, labeling, and packing requirements are provided.
• A one-year warranty on major components is required.

Form / Attachment / Pricing Sheet

This document, AMS-FORM-050, is an "Annual Representations & Certifications" form required by Brookhaven National Laboratory (BNL/BSA) for offerors providing goods or services in support of a U.S. Government (USG) Contract. It is designed to gather necessary registration information and additional representations and certifications from potential vendors.

• Section A.1: Business Information: Collects basic business name, address, contact information, Unique Entity Identifier (UEI) from SAM.gov, and parent NAICS code.
• Section A.2: Applicable Only to Small Business Offerors: Contains representations and certifications specific to small business concerns, including various subcategories (Woman-Owned, Service-Disabled Veteran-Owned, HUBZone, etc.) and references FAR 52.219-1.
• Section B: Additional Representations and Certifications: Includes clauses related to lobbying (FAR 52.203-11), executive compensation reporting (FAR 52.204-10), responsibility matters (FAR 52.209-5), previous contracts and compliance (FAR 52.222-22), affirmative action (FAR 52.222-25), government property, and Buy American provisions (FAR 52.225-1, FAR 52.225-9).
• Section C: Authorized Signature of Offeror: Requires the offeror's authorized representative to certify the accuracy of the information provided.

This form is critical for any vendor wishing to do business with BNL/BSA under a USG contract. Bidders must accurately complete all relevant sections to demonstrate their eligibility, compliance, and business status. Failure to complete this form correctly or providing inaccurate information could result in disqualification or render the offeror non-responsible. The information provided here will be used by BSA to assess the offeror's qualifications and compliance with federal regulations.

Form / Attachment / Pricing Sheet

This document is a Vendor ACH Authorization Form required by Brookhaven National Laboratory (BNL)/Brookhaven Science Associates (BSA), managed under contract with the U.S. Department of Energy. It authorizes BNL/BSA to make payments to the vendor via Automated Clearing House (ACH) credit entries or to correct such entries.

• Vendor Information: Requires Vendor/Company Name or DBA, Vendor Number (if applicable), and Tax ID Number (TIN).
• Depository Information: Requires Financial Institution name, Routing/Transit/ABA Number, and Checking Account Number.
• Authorization: A statement confirming the vendor's authorization for ACH transactions and the conditions for termination or modification.
• Authorized Representative Details: Fields for the representative's name, email, phone, signature, and date.

Vendors responding to opportunities managed by BNL/BSA may be required to complete and submit this form as part of the contract process, likely for payment purposes. It outlines the necessary banking and identification information required for electronic fund transfers.

Form / Attachment / Pricing Sheet

This document is a "Quotation/Proposal Pricing Sheet" (Form No. AMS-Form-043, Revision No. 0.1) required for Brookhaven Science Associates (BSA) Request for Quotation/Proposal No. 477108, concerning a "Super Resolution/Confocal Optical Microscope." It serves as a template for bidders to submit their pricing and related information.

• Milestone Pricing: Bidders must provide pricing for specific milestones, including preliminary and final technical design acceptance, factory acceptance test report, delivery to BNL, commissioning, training, and delivery of end-item documentation.
• Total Price: A section to enter the total price in U.S. Dollars, inclusive of all taxes and charges.
• Price Validity: The submitted price must remain firm for 90 days.
• Delivery Terms: FOB Destination, Freight Prepaid.
• Payment Terms: Net 30 for Large or Foreign Businesses, Net 10 for Small Businesses.
• Country of Origin/Manufacture: Requires insertion of this information and the Item HTS CODE.
• Export Control POC: Contact information is required if the country of origin/manufacture is outside the U.S.
• Company Information: Fields for company address, signature, email, typed name, SAM UEI #, title, and telephone number.
• Commercial Status: Bidders must indicate if the item is a standard catalog item, modified catalog item, or non-commercial item.
• Delivery Timeline Confirmation: A checkbox to confirm ability to meet the draft contract delivery timeline, with a field for forecasted dates if unable.

This form is critical for bidders to accurately quote their pricing and confirm their understanding and agreement with BSA's terms, conditions, and delivery schedule. Completing this form signifies concurrence with BSA's requirements. Bidders must also affirm their SAM registration and provide required certifications, including commercial item status and delivery timeline confirmation. The SAM UEI # is a required field for submission.

Form / Attachment / Pricing Sheet

This document is IRS Form W-9, Request for Taxpayer Identification Number and Certification. It is used by entities and individuals to provide their correct Taxpayer Identification Number (TIN) to a requester who is required to file an information return with the IRS. This form is used to report amounts paid to the individual or entity.

• Part I: Taxpayer Identification Number (TIN): Requires the entry of a Social Security Number (SSN), Individual Taxpayer Identification Number (ITIN), or Employer Identification Number (EIN).
• Part II: Certification: Requires the individual or entity to certify that the TIN provided is correct, that they are not subject to backup withholding, that they are a U.S. citizen or other U.S. person, and that FATCA code information is correct if applicable.
• Lines 1-7: Collects name, business name (if applicable), address, city, state, ZIP code, and account number(s).
• Line 3a: Asks for federal tax classification (Individual/sole proprietor, C corporation, S corporation, Partnership, LLC, Trust/estate).
• Line 3b: For partnerships, trusts, or estates with foreign partners/owners/beneficiaries.
• Line 4: For exemptions from backup withholding or FATCA reporting.

Vendors responding to SAM.gov opportunities may be required to provide this form to the government agency if they are selected for an award or as part of the contracting process. It is essential for domestic vendors to accurately complete this form to ensure proper payment and tax reporting by the government. Failure to provide a correct TIN can lead to backup withholding or other penalties.

Form / Attachment / Pricing Sheet

This document is IRS Form W-8BEN-E, "Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)." It is used by foreign entities to certify their status for U.S. tax withholding and reporting purposes, particularly concerning FATCA (Foreign Account Tax Compliance Act) and Chapter 4 status.

• Part I: Identification of Beneficial Owner: Collects basic information about the entity, including its name, country of incorporation, and Chapter 3 and Chapter 4 (FATCA) statuses.
• Subsequent Parts (II-XXX): These sections allow the entity to provide detailed information and certifications regarding its status, such as:
  • Disregarded Entity or Branch status
  • Claim of Tax Treaty Benefits
  • Sponsored FFI status
  • Various "Deemed-Compliant" statuses (e.g., Nonregistering Local Bank, Low-Value Accounts, Closely Held Investment Vehicle, Limited Life Debt Investment Entity)
  • Specific entity types (e.g., Nonreporting IGA FFI, International Organization, Exempt Retirement Plans, Territory Financial Institution, Excepted Nonfinancial Entities)
  • Publicly Traded NFFE, Active NFFE, Passive NFFE status
  • Substantial U.S. Owners of Passive NFFE
• Part XXX: Certification: A final section for the beneficial owner to certify the accuracy and completeness of the information provided.

Foreign entities bidding on this opportunity may be required to complete and submit this form to the contracting agency or withholding agent to certify their tax status and potentially claim reduced withholding tax rates on payments made under the contract. Understanding the entity's Chapter 4 status is crucial for compliance with U.S. tax regulations. Bidders should consult the IRS instructions for Form W-8BEN-E for detailed guidance on completion.