Procurement, Configuration, and Delivery of High-Stability Unipolar Magnet Power Supply Systems

Form / Attachment / Pricing Sheet

This document is IRS Form W-9, Request for Taxpayer Identification Number and Certification. It is used by individuals and entities 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 vendors to provide to the government agency issuing the contract or payment to ensure accurate tax reporting and avoid backup withholding.

• Part I: Taxpayer Identification Number (TIN): Requires the entry of a Social Security Number (SSN) or Employer Identification Number (EIN).
• Part II: Certification: Certifies that the TIN provided is correct, that the individual/entity is not subject to backup withholding, and that they are a U.S. citizen or other U.S. person.
• Tax Classification: Requires the selection of the appropriate federal tax classification (e.g., Individual/sole proprietor, C corporation, S corporation, Partnership, LLC, Trust/estate).
• Address Information: Fields for the individual's or entity's mailing address.

Bidders must complete and submit this Form W-9 to the contracting agency. Failure to provide a correct TIN or to complete the certification accurately can result in backup withholding of payments and potential penalties. This form is a standard requirement for receiving payments from the U.S. government.

Form / Attachment / Pricing Sheet

This document is a Vendor ACH Authorization Form, used by Brookhaven National Laboratory (BNL)/Brookhaven Science Associates (BSA) to collect information necessary for initiating Automated Clearing House (ACH) credit entries or correcting entries to a vendor's account for payments. It serves as authorization for electronic fund transfers.

• 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 make payments via ACH. It also specifies that 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 Details: Fields for the Authorized Representative's name, Email, Phone, Signature, and Date.

Vendors responding to opportunities managed by Brookhaven National Laboratory/Brookhaven Science Associates may be required to complete and submit this form as part of the contract process, likely for payment processing if they are awarded a contract. It is essential for understanding how payments will be handled electronically.

Form / Attachment / Pricing Sheet

This document is a "Quotation Pricing Sheet" (Form No. AMS-Form-043, Revision No. 0.1) associated with Brookhaven National Laboratory's (Brookhaven Science Associates, LLC) Request for Proposal (RFP) No. 472719 for "High-Stability Unipolar Magnet Power Supply Systems." It is to be completed and submitted by potential bidders.

• Quotation Number and Date: To be filled in by the bidder.
• Total Price: Bidder must insert the total price in USD.
• Place of Manufacture: Bidder to specify.
• Price Firmness: The submitted price must remain firm for 60 days.
• Terms of Delivery and Payment: FOB Destination, Freight Prepaid (North American), DDP (International) Net 30 Days (Net 10 for Small Business).
• Company Information: Bidder must provide Company Name, Signature, Typed Name, Title, Address, Address Line 2, Telephone No., Date, and UEI number.
• SAM Registration Affirmation: Bidders affirm they are registered in SAM, and their representations, certifications, and small business size status are current and complete.

This form is critical for bidders to submit their pricing and confirm their agreement to BSA's requirements, terms, conditions, and delivery schedule. It requires bidders to provide specific financial and company details, confirm their SAM registration status, and acknowledge adherence to the solicitation's terms. Failure to complete this form accurately may impact the evaluation of their proposal.

Form / Attachment / Pricing Sheet

This document, AMS-FORM-050, is a form for Annual Representations & Certifications required by Brookhaven National Laboratory (BNL/BSA) for Offerors providing goods or services in support of U.S. Government (USG) contracts. It gathers necessary registration information and additional representations and certifications.

• Section A.1: Business Information: Collects basic business name, address, contact information, Unique Entity Identifier (from SAM.gov), NAICS Code, and physical/performance location details.
• Section A.2: Applicable Only to Small Business Offerors: Contains representations and certifications specific to small business categories (e.g., Woman-Owned, Service-Disabled Veteran-Owned, HUBZone) and requires confirmation of SAM.gov registration.
• Section B: Additional Representations and Certifications: Includes clauses 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 and compliance (FAR 52.222-22), affirmative action compliance (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 bidders to complete accurately. It requires them to provide detailed business information, self-certify their business size and status (especially for small business set-asides), and attest to compliance with various federal regulations and certifications. Failure to complete this form correctly may impact an Offeror's ability to be considered for an award.

Solicitation / RFP / RFQ

This document is a combined synopsis/solicitation for the procurement, configuration, and delivery of High-Stability Unipolar Magnet Power Supply Systems. Brookhaven Science Associates (BSA), on behalf of the U.S. Department of Energy, is requesting quotes for this requirement. This announcement serves as the sole solicitation, and a separate written solicitation will not be issued.

• The Offeror shall furnish all labor, services, materials, and equipment in strict accordance with the attached DRAFT Purchase Order (Enclosure A).

• The procurement includes configuration and delivery of the specified power supply systems.

• Contract Type: Firm Fixed Price.

• Period of Performance: Delivery is anticipated 10 weeks after receipt of award.

• Estimated Value: Not explicitly stated, but the award will be made to the lowest total price meeting technical requirements.

• Proposal Submission: Complete quotations, including the signed Quotation Pricing Sheet (Enclosure C), must be submitted via email by Friday, March 13, 2026, at 4:00 PM EST.

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

• Key Deadlines:

  • Questions Due Date: Wednesday, March 04, 2026, at 4:00 PM EST.
  • Quote Due Date: Friday, March 13, 2026, at 4:00 PM EST.
  • Anticipated Award Date: By or before April 17, 2026.

• Quote Validity: Quotes must remain valid for 60 days.

• This action is being solicited for full and open competition.

• NAICS Code: 335999 - All Other Miscellaneous Electrical Equipment and Component Manufacturing. The size standard is 600 employees.

• Offerors must be registered in the System for Award Management (SAM) with a Unique Entity ID (UEI). Foreign vendors are not required to be registered in SAM but must complete AMS-Form-050.

• Brookhaven National Laboratory is a tax-exempt entity.

• Freight terms for North American shipments are FOB Destination, Freight Prepaid. For international shipments, terms are DDP (Delivered Duty Paid).

• Required forms include the Quotation Pricing Sheet, Vendor ACH Authorization Form, W-9 Form (domestic), or W-8BEN Form (foreign), and AMS-Form-050 if not registered in SAM.

Form / Attachment / Pricing Sheet

This document is a Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individuals), commonly known as Form W-8BEN. It is used by individuals who are not U.S. persons to establish their foreign status and to claim any applicable tax treaty benefits.

• Part I: Identification of Beneficial Owner: Collects name, country of citizenship, permanent residence and mailing addresses, U.S. taxpayer identification number (if applicable), foreign tax identifying number, and date of birth.
• Part II: Claim of Tax Treaty Benefits: Allows the beneficial owner to claim reduced withholding rates or exemptions from U.S. tax based on an income tax treaty between their country of residence and the United States. Requires specifying the treaty country, article, and paragraph, along with the specific rate of withholding and type of income.
• Part III: Certification: The beneficial owner certifies that the information provided is true, correct, and complete, that they are not a U.S. person, and that the income is not effectively connected with a U.S. trade or business (or meets specific exceptions). It also includes an authorization for the withholding agent to receive this information and an agreement to submit a new form if certifications become incorrect.

Bidders who are foreign individuals and are receiving income from the U.S. government related to this opportunity may need to complete and submit this form to the withholding agent (the government agency) to ensure correct tax withholding. Failure to provide a valid Form W-8BEN may result in backup withholding at the highest applicable rate. This form helps establish the bidder's status as a foreign individual and their eligibility for any tax treaty benefits that could reduce the amount of tax withheld from payments.

Form / Attachment / Pricing Sheet

This document is a DRAFT Purchase Order (PO) from Brookhaven National Laboratory (BNL) for the procurement of high-stability magnet power supply systems. It details the specific systems required, quantities, and technical specifications.

• Item Descriptions: Multiple "Magnet Power System" designations (B, C, A, F, E, G, H) are listed, each with specific output ratings (Amps/Volts), input power requirements (480 VAC, 3-phase), application details, and a critical stability requirement of less than 10 ppm.
• Configuration: All systems are to be "turn-key" with built-in internal and external interlocks.
• Quantities: Specific quantities are listed for each designation (e.g., 1 for Designation B, 2 for Designation C).
• Pricing: All "PO Price" and "Extended Amt" fields are marked as "$TBD", indicating pricing is to be determined.
• Contractual Information: Identifies Brookhaven Science Associates (BSA) as the issuing entity and provides contact information for the Contractual Representative.
• Terms and Conditions: References BNL's General Terms and Conditions for Commercial Items and Services and Supplier Quality Assurance Requirements (BNL-QA-101).
• Statement of Work (SOW) Reference: The "Total Amount" section references Attachment 1, Statement of Work (SOW)_REV 1, dated 02/03/2026, for "Procurement and Deployment of High-Stability Magnet Power Supply Systems for the Tandem Van der Graaff facility."

This document outlines the specific technical requirements and quantities for magnet power supply systems. Bidders interested in this opportunity should review the detailed specifications for each "Magnet Power System" designation to determine their ability to meet the stringent stability requirements (<10 ppm) and other technical parameters. The "DRAFT" status suggests this is a preliminary document, and final pricing and terms will be critical for proposal development. The referenced SOW provides further detail on the project's scope and objectives.