PCB (Printed Circuit Board) Assembly Service

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 essential for reporting payments made to vendors, such as interest, dividends, or nonemployee compensation.

• 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 reporting exemptions are correct (if applicable).

• Lines 1-7: Collects name, business name, address, city, state, and ZIP code.

• Bidders must provide their correct TIN, which should match the name provided on line 1.

• The form must be signed by the individual or entity providing the TIN.

• Bidders should refer to the specific instructions within the form for detailed guidance on completing each section, especially regarding tax classification and exemptions.

This form is critical for any vendor seeking to receive payments from the government for this opportunity. Failure to provide a correct and complete Form W-9 can result in backup withholding of payments and potential delays in payment processing. Bidders must ensure they accurately complete and submit this form as part of their proposal or as otherwise instructed by the contracting agency.

Solicitation / RFP / RFQ

This Request for Quote (RFQ) from Brookhaven Science Associates, LLC (BSA) solicits quotes for Print Circuit Board (PCB) assembly services. The procurement is for full and open competition, with NAICS Code 334418 (Printed Circuit Assembly) and a size standard of 750 employees. The assemblies are intended for electronics operating at cryogenic temperatures (77 K) within DUNE FD-VD and FD-HD detectors.

• Provision of Print Circuit Board (PCB) assembly services in accordance with the attached Draft Contract 471674 (Enclosure A).

• Offerors must demonstrate experience in building cryogenic electronics assemblies with similar complexity, including approximately 50 component types, a mix of surface mount and through-hole technologies, around 1,500 components, compliance with IPC-A-610 Class II, and stringent ESD handling procedures.

• Offerors must have a minimum of 20 years of experience in complex PCB assemblies.

• Offerors must provide references for at least 3 successfully fabricated jobs with comparable complexity, detailing board size, component types and counts, IPC-A-610 Class II compliance, ESD handling, and evidence of use at cryogenic temperatures.

• Contract Type: Firm-Fixed Price (FFP).

• Anticipated Period of Performance: Contract Award through 09/30/2026, with Phase 1 Delivery occurring one month after contract award, and a 12-month option period exercisable in one-month increments.

• Anticipated Freight Terms: FOB Destination, Freight Prepaid.

• Payment Terms: To Be Determined (TBD).

• Questions Due Date: Friday, February 13, 2026, 11:59 PM ET.

• Quote Due Date & Time: Friday, February 20, 2026, 11:59 PM ET.

• Submission Method: Email submissions only, including the signed Quotation Pricing Sheet (Enclosure C) and SAM UEI Number. Emails should be sent to the Contracts Specialist listed on page 1 with RFQ Number 471674 in the subject line.

• Evaluation Criteria: Award will be made to the responsive and responsible Offeror submitting the lowest total price that meets all technical requirements and RFQ qualifiers.

• Full and open competition.

• Offerors must be registered in the System for Award Management (SAM.gov).

• Representations and Certifications (AMS-Form-050, Enclosure B) are required if not currently active and registered in SAM.gov.

• Enclosures include: Draft Purchase Order/Contract (A), AMS Form 050 Reps and Certs (B), AMS Form 043 Quotation Pricing Sheet (C), Vendor ACH Authorization Form (D), W-9 Form (E), and W-8 Form (F for foreign vendors only).

• The procurement is managed by Brookhaven Science Associates for the U.S. Department of Energy.

Contract

This document is a contract between Brookhaven National Laboratory (BNL) and a contractor for Print Circuit Board (PCB) Assembly services. BNL is acting under a Prime Contract with the U.S. Department of Energy (DOE).

• Base Phase 1: Build 30 pieces of pre-production board assemblies. This phase serves as a qualification step.

• Option 2 (Phase 2): Build 520 pieces of production board assemblies for the Far Detector in Vertical Drift Technology (FD-VD).

• Option 3 (Phase 3): Build 800 pieces of production board assemblies for the Far Detector in Horizontal Drift Technology (FD-HD).

• Delivery of the 30 base phase assemblies must be within one month.

• A certificate of quality compliance must be provided.

• BNL will provide PCBs and parts; the contractor provides labor.

• Contract Type: Firm-Fixed Price

• Overall Value: To Be Determined (TBD)

• Period of Performance: Effective upon execution through 09/30/2026. Includes twelve (12) additional option months, potentially extending to 09/30/2027.

• Payment: Upon receipt and approval of certified invoices and deliveries. Payment terms are Net (TBD).

• Not applicable for this contract document; it outlines the agreement itself.

• Not specified in this document.

• The contract incorporates by reference FAR 52.222-41 Service Contract Labor Standards and Wage Determination No. 2015-4157, Rev. 30.

• Detailed requirements for labeling, packing, shipping, and handling are provided.

• Specific contacts for BNL's Technical Representative (Blake Clemmer) and Contractual Representative are listed.

• Brookhaven Science Associates General Terms and Conditions for Commercial Items and Services are incorporated by reference.

Form / Attachment / Pricing Sheet

This document, AMS-FORM-050, is titled "Annual Representations & Certifications" and is used by Brookhaven National Laboratory (BNL/BSA) to gather necessary registration data, representations, and certifications from Offerors who provide or intend to provide goods or services in support of U.S. Government (USG) contracts. It aims to efficiently collect this information, which may be similar to data collected via SAM.gov but can also include solicitation-specific requirements.

• Section A.1: Business Information: Collects basic business details including name, DBA, address, contact information, Unique Entity Identifier (from SAM.gov), NAICS code, and physical/performance location.
• Section A.2: Applicable Only to Small Business Offerors: Contains representations and certifications specifically for small businesses, including subcategories like Woman-Owned, Service-Disabled Veteran-Owned, HUBZone, etc. It references FAR 52.219-1.
• Section B: Additional Representations and Certifications: Includes various FAR clauses such as those related to influencing Federal transactions (FAR 52.203-11), reporting executive compensation (FAR 52.204-10), certification regarding responsibility matters (FAR 52.209-5), previous contracts (FAR 52.222-22), affirmative action (FAR 52.222-25), 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 and acknowledge potential penalties for misrepresentation.

This form is critical for any bidder responding to a solicitation from BNL/BSA. It requires bidders to provide detailed information about their business status, certifications, and compliance with various federal regulations. Failure to accurately complete and submit this form, or any changes in representations during the performance period, may impact an offeror's eligibility or responsibility determination and could lead to penalties or contract termination. Bidders must ensure all sections are completed accurately and that their business status aligns with the certifications provided.

Form / Attachment / Pricing Sheet

This document is a "Quotation Pricing Sheet" (Form AMS-Form-043, Revision No. 0.1) used by potential bidders to submit pricing for the "PCB Assembly Service" referenced in BSA Request for Quotation No. 471674.

• Description of Items: Lists specific items for quotation, including "IO-1750-1F Assembly" and "IO-1750-1F Set-Up" for Phases 1, 2, and 3.
• Quantity (Qty): Specifies the number of units for each item.
• Unit Price: Field to enter the price per unit.
• Total: Field to calculate the total price for each item.
• Total Overall Price: Field for the sum of all item totals.
• Price Firmness: States that the price shall remain firm for Ninety (90) days.
• Delivery and Payment Terms: FOB Destination, Net (TBD) Days.
• Concurrence Section: Requires the bidder to acknowledge and agree to BSA's requirements, terms, conditions, and delivery schedule. It also requires affirmation of SAM registration, current representations and certifications, and small business size status. A field is provided to insert the bidder's UEI number.

This form is essential for bidders to provide their pricing for the specified PCB assembly services. It outlines the specific items, quantities, and terms required for the quotation. Bidders must complete this form accurately and sign the concurrence section to confirm their understanding and agreement with the solicitation's terms and their eligibility status.

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 is used to authorize electronic payments (ACH credit entries or correcting entries) to the vendor's designated bank account.

• 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 BNL/BSA to initiate ACH transactions. It also states the authorization remains in effect until written notification to terminate or modify is received and that credit authorizations may be revoked according to NACHA law.
• Authorized Representative Information: Requires the name of the authorized representative, their email, phone number, signature, and the date.

Vendors responding to opportunities requiring this form must complete and submit it accurately. This form is essential for enabling electronic payment processing by the government agency or its contractor. Failure to provide correct information may delay or prevent payments.

Form / Attachment

This document is 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 to U.S. withholding agents and payers, enabling them to determine tax withholding and reporting requirements.

• Part I: Identification of Beneficial Owner: Collects basic identifying information about the entity, including its name, country of incorporation, and Chapter 3 and Chapter 4 (FATCA) statuses.
• Parts II-XXIX: These sections allow the entity to claim specific statuses, such as being a disregarded entity, claiming tax treaty benefits, or qualifying for various "deemed-compliant" or "excepted" statuses under FATCA regulations (e.g., Sponsored FFI, Active NFFE, Exempt Retirement Plans).
• Part XXX: Certification: Contains the beneficial owner's certification of the information provided and their status as a non-U.S. person.

If a bidder is a foreign entity, they will likely need to complete and submit this form to the contracting agency (withholding agent) to avoid U.S. tax withholding on payments made under the contract. The specific sections they complete will depend on their entity type and tax status. Failure to provide a properly completed Form W-8BEN-E may result in backup withholding at the applicable U.S. tax rate.